| St Dominic Raleigh Family Practice | |
|
342 Magnolia Dr Raleigh MS 39153-6012 | |
| (601) 200-6809 | |
| (601) 200-5929 |
| Full Name | St Dominic Raleigh Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 342 Magnolia Dr, Raleigh, Mississippi |
| Authorized Official Name and Position | Danielle Stuart (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6012004880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Dominic Raleigh Family Practice Po Box 23666 Jackson MS 39225-3666 Ph: (601) 200-4749 | St Dominic Raleigh Family Practice 342 Magnolia Dr Raleigh MS 39153-6012 Ph: (601) 200-6809 |
| NPI Number | 1083032171 |
|---|---|
| Provider Enumeration Date | 04/04/2014 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083032171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16442 (Mississippi) | Primary |
Patients Choice Clinic Of Raleigh Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 347 Magnolia Dr, Raleigh, MS 39153 Phone: 601-782-9997 | |
Raleigh Family Health Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 234 Magnolia Dr, Raleigh, MS 39153 Phone: 601-822-5002 Fax: 601-782-4501 | |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 226 Whiteoak Ave, Raleigh, MS 39153 Phone: 601-825-7280 Fax: 601-825-8130 | |
Independent Healthcare Management, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 Magnolia Dr, Raleigh, MS 39153 Phone: 601-200-6809 |