| Bremen Family Medicine | |
|
308 Carrollton St Bremen GA 30110-2015 | |
| (770) 537-1960 | |
| (770) 537-1901 |
| Full Name | Bremen Family Medicine |
|---|---|
| Speciality | General Practice |
| Location | 308 Carrollton St, Bremen, Georgia |
| Authorized Official Name and Position | Regina L Holloway (OWNER) |
| Authorized Official Contact | 7705371960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bremen Family Medicine 327 Old Bushmill Rd Bremen GA 30110-3835 Ph: (770) 537-1960 | Bremen Family Medicine 308 Carrollton St Bremen GA 30110-2015 Ph: (770) 537-1960 |
| NPI Number | 1003023987 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8921052044 |
|---|---|
| Medicare Enrollment ID | O20050310000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003023987 | NPI | - | NPPES |
| 00478552H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 034852 (Georgia) | Primary |
| Provider Name | Regina L Holloway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063584324 PECOS PAC ID: 4880686278 Enrollment ID: I20040402001297 |
Haralson Medical Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Allen Memorial Dr, Bremen, GA 30110 Phone: 770-537-4818 Fax: 770-537-6684 | |
316 Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 Gordon St, Bremen, GA 30110 Phone: 770-537-1234 Fax: 770-537-1237 | |
Primary Care Of Bremen Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 204 Allen Memorial Dr, Suite 201, Bremen, GA 30110 Phone: 770-537-6500 Fax: 770-824-2600 |