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Contact Information

HOMETOWN OCCUPATIONAL MEDICINE
89 SANDY RUN RD
SUITE 500
BONARE, GA31005
 Phone: 478-412-4774
 Fax: 478-412-4775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for HOMETOWN OCCUPATIONAL MEDICINE

NPI Number 1609553965
LBN Legal business name HOMETOWN OCCUPATIONAL MEDICINE
Authorized official BREANNA BASSETT - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2023
Last updated 06/29/2023 - About 3 years ago
Identifiers n/a
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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