# 316 FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 316 HEALTHCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861915647
- **Legal business name:** 316 HEALTHCARE
- **Authorized official:** NOELLE SMITH (PRACTICE MANAGER)
- **Authorized official phone:** (770) 634-8905

## Contact information

- **Practice address:** 222 GORDON ST, BREMEN, GA 30110-1519
- **Practice address phone:** (770) 537-1234
- **Practice address fax:** (770) 537-1237
- **Mailing address:** PO BOX 728, BREMEN, GA 30110-0728
- **Mailing address phone:** (770) 537-1234
- **Mailing address fax:** (770) 537-1235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 059986 | GA | Yes |

## Other

- **Enumeration date:** 07/24/2017
- **Last updated:** 03/20/2025