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Organization
ST. MARY'S MEDICAL GROUP, INC.
Active
Organization
ST. MARY'S MEDICAL GROUP, INC.
Active
Other names
St. Mary's Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTAINY HORNE (PRESIDENT)
(706) 389-3940
Entity
Organization
Contact information
Practice address
2421 MALCOM BRIDGE RD STE 240, BOGART, GA 30622-2325
(706) 208-8038
(706) 208-8039
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
(706) 389-3951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
10/05/2026
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