Organization
ST. MARY'S MEDICAL GROUP, 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
1000 COWLES CLINC WAY, SUITE D-300, GREENSBORO, GA 30642-5285
(762) 243-3860
(762) 243-3879
Mailing address
1000 COWLES CLINC WAY, SUITE D-300, GREENSBORO, GA 30642-5285
(762) 243-3860
(762) 243-3879
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
63440
GA
Other
Enumeration date
03/02/2012
Last updated
04/03/2018
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