St. Mary's Medical Group, Inc.

NPI #1235561820 in Athens, Georgia

Provider Information

NPI Number: 1235561820
Entity Type: Organization
Organization Name: St. Mary's Medical Group, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Aug 6, 2013
Last Updated: Mar 12, 2021

Practice Location

Address: 1230 BAXTER ST
City: Athens
State: Georgia
ZIP Code: 30606-3712
Phone: (706) 389-3880

Authorized Official

Name: D. MONTEZ CARTER
Title: PRESIDENT & CEO
Phone: (706) 389-3930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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