Organization
ST. MARY'S HEALTH CARE SYSTEM, INC.
Active
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) 389-3000
(706) 389-3951
Mailing address
PO BOX 6588, ATHENS, GA 30604-6588
(706) 389-3955
(706) 389-3951
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE007696
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000461095B
—
GA
05
—
000461095C
—
GA
Enumeration date
07/19/2005
Last updated
04/04/2018
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