Organization
HOMETOWN OCCUPATIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BREANNA DOROTHY BASSETT (CEO/PRESIDENT)
(478) 972-0403
Entity
Organization
Contact information
Practice address
89 SANDY RUN RD, SUITE 500, BONARE, GA 31005
(478) 412-4774
(478) 412-4775
Mailing address
89 SANDY RUN RD, SUITE 500, BONARE, GA 31005
(478) 412-4774
(478) 412-4775
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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