Organization · NPI-2

316 Family Medicine

Family Medicine · Bremen, GA

NPI number1861915647
StatusActive
Last updated in NPPESMar 20, 2025

Details

NPI
1861915647
Entity type
Organization (NPI-2)
Legal business name
316 Family Medicine
Organization subpart
Yes
Enumeration date
Jul 24, 2017
Certification date
Mar 20, 2025
Last updated
Mar 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine059986GAYes

Practice location

222 Gordon St
Bremen, GA 30110-1519

Phone 770-537-1234 · Fax 770-537-1237

Mailing address

Po Box 728
Bremen, GA 30110-0728

Phone 770-537-1234 · Fax 770-537-1235

Other practice locations

527 Tanner St
Carrollton, GA 30117-3318

Phone 678-390-6575 · Fax 678-390-6585

107 Wedgewood Dr
Carrollton, GA 30117-4335

Phone 678-390-7070 · Fax 678-390-7071

1017 Alabama Ave S
Bremen, GA 30110-2501

Phone 678-390-7900 · Fax 678-390-7901

820 Maple St
Carrollton, GA 30117-3626

Phone 678-390-7900 · Fax 678-390-7901

1009 Alabama Ave S
Bremen, GA 30110-2501

Phone 678-821-6400 · Fax 678-821-6401

21178 Main Street
Ranburne, AL 36273

Phone 938-526-0010 · Fax 938-526-0011

828 Pacific Ave
Bremen, GA 30110-2234

Phone 678-390-7900 · Fax 770-537-1237

Authorized official

Noelle Smith
Practice Manager
7706348905

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