St. Mary'S Medical Group, INC.
Obstetrics & Gynecology in Greensboro, GA. Organization (NPI-2).
NPI number1891069290
StatusActive
Last updated in NPPESApr 3, 2018
Details
- NPI
- 1891069290
- Entity type
- Organization (NPI-2)
- Legal business name
- St. Mary'S Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Mar 2, 2012
- Last updated
- Apr 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 63440 | GA | Yes |
Practice location
1000 Cowles Clinc WaySuite D-300
Greensboro, GA 30642-5285
Phone 762-243-3860 · Fax 762-243-3879
Mailing address
1000 Cowles Clinc WaySuite D-300
Greensboro, GA 30642-5285
Phone 762-243-3860 · Fax 762-243-3879
Authorized official
D. Montez Carter
President & Ceo
7063893930
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