The Braselton Clinic

NPI #1972796803 in Hoschton, Georgia

Provider Information

NPI Number: 1972796803
Entity Type: Organization
Organization Name: The Braselton Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHEAST GEORGIA PRIMARY CARE, INC.
Primary Specialty: Internal Medicine
Enumeration Date: Aug 23, 2007
Last Updated: Nov 24, 2008

Practice Location

Address: 5875 THOMPSON MILL RD
Address 2: STE. 200
City: Hoschton
State: Georgia
ZIP Code: 30548-4001
Phone: (770) 965-2022

Authorized Official

Name: MARK KLEIN
Title: EXECUTIVE DIRECTOR
Phone: (770) 533-8406

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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