Hometown Occupational Medicine | |
89 Sandy Run Rd Suite 500 Bonare GA 31005 | |
(478) 412-4774 | |
(478) 412-4775 |
Full Name | Hometown Occupational Medicine |
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Speciality | General Practice |
Location | 89 Sandy Run Rd, Bonare, Georgia |
Authorized Official Name and Position | Breanna Dorothy Bassett (CEO/PRESIDENT) |
Authorized Official Contact | 4789720403 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hometown Occupational Medicine 89 Sandy Run Rd Suite 500 Bonare GA 31005 Ph: (478) 412-4774 | Hometown Occupational Medicine 89 Sandy Run Rd Suite 500 Bonare GA 31005 Ph: (478) 412-4774 |
NPI Number | 1609553965 |
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Provider Enumeration Date | 06/29/2023 |
Last Update Date | 06/29/2023 |
Identifier | Type | State | Issuer |
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1609553965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |