St. Mary's Medical Group, Inc.

NPI #1891069290 in Greensboro, Georgia

Provider Information

NPI Number: 1891069290
Entity Type: Organization
Organization Name: St. Mary's Medical Group, Inc.
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Mar 2, 2012
Last Updated: Apr 3, 2018

Practice Location

Address: 1000 COWLES CLINC WAY
Address 2: SUITE D-300
City: Greensboro
State: Georgia
ZIP Code: 30642-5285
Phone: (762) 243-3860

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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