NPI 1053935411

St. Mary's Medical Group, INC.

Organisation Allergy & Immunology Physician Watkinsville, GA

Practice location

Address: 1360 Caduceus Way Bldg 200-102, Watkinsville, GA 30677-7349
Phone: (706) 389-3810
Fax: (706) 389-3811
Mailing address: PO Box 48089, Athens, GA 30604-8089

Authorised official

Name: Brittainy Horne
Title: President
Phone: (706) 389-3940

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X

Other Allergy & Immunology providers in Georgia →

Registry record

NPI: 1053935411
Entity type: Organization
NPI issued: 2 Jun 2020
Record last updated: 1 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.