Organization · NPI-2

Haralson Medical Clinic, PC

Family Medicine · Bremen, GA

NPI number1851300842
StatusActive
Last updated in NPPESMay 7, 2008

Details

NPI
1851300842
Entity type
Organization (NPI-2)
Legal business name
Haralson Medical Clinic, PC
Organization subpart
No
Enumeration date
Aug 7, 2006
Last updated
May 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine16085GAYes

Practice location

201 Allen Memorial Dr
Bremen, GA 30110

Phone 770-537-4818 · Fax 770-537-6684

Mailing address

201 Allen Memorial Dr
Bremen, GA 30110

Phone 770-537-4818 · Fax 770-537-6684

Authorized official

In Sook Kim
Secretary
7705374818

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