IndividualActive
Maria Domino, M.D.
NPI 1699154294 · Urology Physician · Jackson, MS
Provider details
- NPI number
- 1699154294
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 28767 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1410 E Woodrow Wilson Ave
Jackson, MS 39216-4500
Phone: (601) 984-5185
Fax: (601) 815-5660
Approximate (ZIP-level) locationGet directions
Mailing address
504 Clinton Center Dr Ste 4300
Clinton, MS 39056-5610
Additional practice locations (1)
- 163 River Oaks DrCanton, MS 39046-5313Phone: (601) 815-7840
Registry dates
- Enumerated
- 2015-05-28
- Last updated
- 2024-02-29
- Certified
- 2024-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.