316 FAMILY MEDICINE

NPI 1861915647 Active Family Medicine

Quick Facts

NPI Number

1861915647

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2017-07-24

Last Updated (NPPES)

2025-03-20

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`
License	059986 GA

Practice Address

222 GORDON ST
BREMEN, GA 301101519

Phone: 770-537-1234

Fax: 770-537-1237

Mailing Address

PO BOX 728
BREMEN, GA 301100728

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