St Marys Obgyn LLC
NPI #1912963422 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1912963422
- Entity Type
- Organization
- Organization Name
- St Marys Obgyn LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ST. MARY'S HEALTH SYSTEM, INC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Apr 24, 2006
- Last Updated
- Aug 7, 2009
Practice Location
- Address
- 120 HOSPITAL DR
- Address 2
- SUITE 250
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-5279
- Phone
- (865) 471-2644
Authorized Official
- Name
- MRS. DEBRA K LONDON
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (865) 545-7558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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