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ST. MARY'S MEDICAL GROUP INC. NPI 1003264524


NPI Information

NPI: 1003264524
Provider Name: ST. MARY'S MEDICAL GROUP, INC.

Other Name: RHEUMATOLOGY CENTER OF ATHENS

Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 11D2291319

Address:
1622 MARS HILL RD STE C
WATKINSVILLE, GA
ZIP 30677
Phone: (706) 769-9931
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ST. MARY'S MEDICAL GROUP, INC. is a rheumatology internal medicine in Watkinsville, GA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. ST. MARY'S MEDICAL GROUP, INC. NPI is 1003264524. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Rheumatology Center Of Athens.

The provider's business location address is:

1622 MARS HILL RD STE C
WATKINSVILLE, GA
ZIP 30677-893
Phone: (706) 769-9931
Fax: (706) 310-0499

The provider's authorized official is Brittainy Horne .
The authorized official title is President and has the following contact phone number (706) 389-3940.

The CLIA number assigned to this NPI record is 11D2291319 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2016 and was last updated on 11/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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