| Primary Care Of Bremen | |
|
204 Allen Memorial Dr Suite 201 Bremen GA 30110-2047 | |
| (770) 537-6500 | |
| (770) 824-2600 |
| Full Name | Primary Care Of Bremen |
|---|---|
| Speciality | Clinic/Center |
| Location | 204 Allen Memorial Dr, Bremen, Georgia |
| Authorized Official Name and Position | Clint Hoffman (SR VP OPERATIONS) |
| Authorized Official Contact | 7708388845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of Bremen 100 Greenway Blvd Fl 2 Carrollton GA 30117-4338 Ph: (770) 838-8787 | Primary Care Of Bremen 204 Allen Memorial Dr Suite 201 Bremen GA 30110-2047 Ph: (770) 537-6500 |
| NPI Number | 1992710610 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 8729997846 |
|---|---|
| Medicare Enrollment ID | O20030404000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992710610 | NPI | - | NPPES |
| 300033792A | Medicaid | GA | |
| DG2920 | Other | GA | MEDICARE ID |
| 367607289A | Other | GA | CLINIC RENDERING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Bremen Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Carrollton St, Bremen, GA 30110 Phone: 770-537-1960 Fax: 770-537-1901 | |
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 |