Organization
TMC HARALSON FAMILY HEALTHCARE CENTER
Active
Other names
Primary Care of Bremen
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT HOFFMAN (SR VP OPERATIONS)
(770) 838-8845
Entity
Organization
Contact information
Practice address
204 ALLEN MEMORIAL DR, SUITE 201, BREMEN, GA 30110-2047
(770) 537-6500
(770) 824-2600
Mailing address
100 GREENWAY BLVD FL 2, CARROLLTON, GA 30117-4338
(770) 838-8787
(770) 812-5735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300033792A
—
GA
01
—
367607289A
CLINIC RENDERING
GA
01
—
DG2920
MEDICARE ID
GA
Enumeration date
07/30/2006
Last updated
02/29/2024
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