BREMEN FAMILY MEDICINE; NPI #1003023987

Contact Information

BREMEN FAMILY MEDICINE

308 CARROLLTON ST
BREMEN, GA 30110-2015

Phone: 770-537-1960
Fax: 770-537-1901
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for BREMEN FAMILY MEDICINE

NPI # 1003023987

LBN Legal business name BREMEN FAMILY MEDICINE

Authorized official REGINA HOLLOWAY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/17/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

GA	License #	034852
GA	Medicaid	00478552H

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BREMEN FAMILY MEDICINE

Contact Information

Specialty

General Practice

NPI Profile & details for BREMEN FAMILY MEDICINE

Reviews for BREMEN FAMILY MEDICINE