Organization
ST. MARY'S MEDICAL GROUP, INC.
Active
Other names
St. Mary's Allergy Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTAINY HORNE (PRESIDENT)
(706) 389-3940
Entity
Organization
Contact information
Practice address
1360 CADUCEUS WAY BLDG 200-102, WATKINSVILLE, GA 30677-7349
(706) 389-3810
(706) 389-3811
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
(706) 389-3951
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
11/01/2022
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