# BREMEN FAMILY HEALTH AND WELLNESS

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

## Provider details

- **NPI number:** 1891859849
- **Authorized official:** RALPH J TEMPLETON (CEO)
- **Authorized official phone:** (770) 537-5555

## Contact information

- **Practice address:** 509 ALABAMA AVE S, BREMEN, GA 30110-2007
- **Practice address phone:** (770) 537-5555
- **Practice address fax:** (770) 537-0548
- **Mailing address:** 509 ALABAMA AVE S, BREMEN, GA 30110-2007
- **Mailing address phone:** (770) 537-5555
- **Mailing address fax:** (770) 537-0548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2627 | GA | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | GA | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 364SA2200X | Adult Health Clinical Nurse Specialist | RN150905 | GA | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 04/13/2023