Organization · Type 2 NPI

St. Mary's Medical Group, Inc.

Neurological Surgery Physician · Athens, GA

NPI number 1083189591 Active

Practice location

2142 W Broad St Bldg 100 Ste 200
Athens, GA 30606-3509

Fax (706) 546-0821

Mailing address

PO Box 48089
Athens, GA 30604-8089

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1083189591

St. Mary's Medical Group, Inc.'s National Provider Identifier is 1083189591, issued on Oct 11, 2018. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Athens, GA. The record was last updated on Oct 5, 2026.