Organization
ST. MARY'S MEDICAL GROUP, INC.
Active
Other names
St. Mary's House Calls
Organization subpart
No
Provider details
NPI number
Authorized official
D. MONTEZ CARTER (PRESIDENT & CEO)
(706) 389-3930
Entity
Organization
Contact information
Practice address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 389-3880
(706) 389-3881
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
(706) 389-3951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/06/2013
Last updated
03/12/2021
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