Organization
ST. MARY'S MEDICAL GROUP, INC.
Active
Organization
ST. MARY'S MEDICAL GROUP, INC.
Active
Other names
Northeast Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
D. MONTEZ CARTER (PRESIDENT & CEO)
(706) 389-3930
Entity
Organization
Contact information
Practice address
700 SUNSET DR STE 302, ATHENS, GA 30606-7721
(706) 548-9111
(706) 548-9224
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
(706) 389-3951
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
02/22/2011
Last updated
03/30/2018
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