| NPI | 1073709432 |
|---|---|
| Doing Business As | ST. MARYS OB/GYN, P. C. |
| Entity Type | Organization |
| Authorized Contact | FAREED Z KADUM President 912-729-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA GA022993) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |