| Hometown Occupational Medicine | |
|
89 Sandy Run Rd Suite 500 Bonare GA 31005 | |
| (478) 412-4774 | |
| (478) 412-4775 |
| Full Name | Hometown Occupational Medicine |
|---|---|
| Speciality | General Practice |
| Location | 89 Sandy Run Rd, Bonare, Georgia |
| Authorized Official Name and Position | Breanna Dorothy Bassett (CEO/PRESIDENT) |
| Authorized Official Contact | 4789720403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Occupational Medicine 89 Sandy Run Rd Suite 500 Bonare GA 31005 Ph: (478) 412-4774 | Hometown Occupational Medicine 89 Sandy Run Rd Suite 500 Bonare GA 31005 Ph: (478) 412-4774 |
| NPI Number | 1609553965 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609553965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |