National Provider Identifier Database

BREMEN FAMILY MEDICINE
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

BREMEN FAMILY MEDICINE
308 CARROLLTON ST
BREMEN, GA30110-2015
Phone: 770-537-1960
Fax: 770-537-1901
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for BREMEN FAMILY MEDICINE

NPI Number 1003023987
Legal business name
LBN
BREMEN FAMILY MEDICINE
Authorized official REGINA HOLLOWAY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/17/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 034852
  • GA Medicaid: 00478552H

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BREMEN FAMILY MEDICINE

There are currently no reviews for BREMEN FAMILY MEDICINE


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