Organization
ST. MARY'S MEDICAL GROUP, INC.
Active
Other names
St. Mary's Breast Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTAINY HORNE (PRESIDENT)
(706) 389-3940
Entity
Organization
Contact information
Practice address
1500 OGLETHORPE AVE STE 2100, ATHENS, GA 30606-2188
(706) 425-5437
(706) 425-5438
Mailing address
PO BOX 48089, ATHENS, GA 30604-8089
(706) 389-3740
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
11/09/2022
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