Individual provider · Type 1 NPI

Charles A. Bergstrom, MD

Family Medicine Physician · Fayetteville, GA

NPI number 1104886662 Active

Practice location

108 North Park Dr.
Fayetteville, GA 30214

Fax (770) 461-3884

Mailing address

108 N Park Dr
Fayetteville, GA 30214-1645

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X033030 (GA)
Family Medicine Physician Primary 207Q00000X033030 (GA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104886662

Charles A. Bergstrom, MD's National Provider Identifier is 1104886662, issued on Mar 27, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fayetteville, GA. The record was last updated on Dec 30, 2021.