# HOMETOWN OCCUPATIONAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609553965
- **Authorized official:** MRS. BREANNA DOROTHY BASSETT (CEO/PRESIDENT)
- **Authorized official phone:** (478) 972-0403

## Contact information

- **Practice address:** 89 SANDY RUN RD, SUITE 500, BONARE, GA 31005
- **Practice address phone:** (478) 412-4774
- **Practice address fax:** (478) 412-4775
- **Mailing address:** 89 SANDY RUN RD, SUITE 500, BONARE, GA 31005
- **Mailing address phone:** (478) 412-4774
- **Mailing address fax:** (478) 412-4775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2023
- **Last updated:** 06/29/2023