# ST. MARY'S MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Mary's Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285116210
- **Authorized official:** BRITTAINY HORNE (PRESIDENT)
- **Authorized official phone:** (706) 389-3940

## Contact information

- **Practice address:** 2421 MALCOM BRIDGE RD STE 240, BOGART, GA 30622-2325
- **Practice address phone:** (706) 208-8038
- **Practice address fax:** (706) 208-8039
- **Mailing address:** PO BOX 48089, ATHENS, GA 30604-8089
- **Mailing address phone:** (706) 389-3740
- **Mailing address fax:** (706) 389-3951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 10/05/2026