Organization
ST. MARY'S MEDICAL GROUP, INC.
Active
Other names
Clear Creek OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTAINY HORNE (PRESIDENT)
(706) 389-3940
Entity
Organization
Contact information
Practice address
355 CLEAR CREEK PKWY STE 1003, LAVONIA, GA 30553-4271
(706) 356-0780
(706) 356-0781
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
(706) 389-3951
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
11/02/2022
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