Individual provider · Type 1 NPI
Charles A. Bergstrom, MD
Family Medicine Physician · Fayetteville, GA
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
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 033030 (GA) |
| Family Medicine Physician Primary | 207Q00000X | 033030 (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.