Organization
ST. MARYS OBSTETRICS & GYNECOLOGY, P. C.
Active
Other names
St. Marys OB/GYN, P. C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAREED Z KADUM M.D. (PRESIDENT)
(912) 729-6600
Entity
Organization
Contact information
Practice address
203 LAKESHORE PT, SAINT MARYS, GA 31558-3843
(912) 729-6600
(912) 729-6616
Mailing address
203 LAKESHORE PT, SAINT MARYS, GA 31558-3843
(912) 729-6600
(912) 729-6616
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
GA022993
GA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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