Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St Dominic Medical Associates LLC

Organization Otolaryngology Physician · NPI 1174757017

St Dominic Medical Associates LLC is an Otolaryngology Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

970 Lakeland Dr Ste 40
Jackson, MS 39216-4635
Phone: (601) 200-4850
Fax: (601) 200-4838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X (MS)

Record details

NPI number1174757017
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSt Dominic Jackson Memorial Hospital
Authorized official Jennifer Sinclair — Vice President Of Finance · (601) 200-2000
Other names Ear Nose And Throat Surgical Group
NPI enumeratedMay 6, 2009
Last updated in NPPESDecember 18, 2013
Mailing addressPo Box 23666, Jackson, MS 39225-3666

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