NPI 1083189591

St. Mary's Medical Group, INC.

Organisation Neurological Surgery Physician Athens, GA

Practice location

Address: 2142 W Broad St Bldg 100 STE 200, Athens, GA 30606-3509
Phone: (706) 548-6881
Fax: (706) 546-0821
Mailing address: PO Box 48089, Athens, GA 30604-8089

Authorised official

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

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Georgia →

Registry record

NPI: 1083189591
Entity type: Organization
NPI issued: 11 Oct 2018
Record last updated: 2 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.