# ST. MARYS OBSTETRICS & GYNECOLOGY, P. C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Marys OB/GYN, P. C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073709432
- **Authorized official:** DR. FAREED Z KADUM M.D. (PRESIDENT)
- **Authorized official phone:** (912) 729-6600

## Contact information

- **Practice address:** 203 LAKESHORE PT, SAINT MARYS, GA 31558-3843
- **Practice address phone:** (912) 729-6600
- **Practice address fax:** (912) 729-6616
- **Mailing address:** 203 LAKESHORE PT, SAINT MARYS, GA 31558-3843
- **Mailing address phone:** (912) 729-6600
- **Mailing address fax:** (912) 729-6616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | GA022993 | GA | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 09/19/2007