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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