# ST. MARY'S MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1295174944
- **Authorized official:** BRITTAINY HORNE (PRESIDENT)
- **Authorized official phone:** (706) 389-3940

## Contact information

- **Practice address:** 4017 ATLANTA HWY STE B, ATHENS, GA 30606-0812
- **Practice address phone:** (706) 389-2222
- **Practice address fax:** (706) 389-2221
- **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 |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/17/2013
- **Last updated:** 11/02/2022