Dr CHARLES A BERGSTROM is a male medical professional, specializing in Family Medicine. He graduated in 1984 from University Of Illinois At Chicago Health Science Center.
JOHN A KELLER MD PC
108 N PARK DR
FAYETTEVILLE
GA
302141645
Tel: 7704613466
| Npi | 1104886662 |
| Pac Id | 0244429876 |
| Professional Enrollment Id | I20110112000493 |
| Last Name | BERGSTROM |
| First Name | CHARLES |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1984 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | JOHN A KELLER MD PC |
| Group Practice Pac Id | 0345231643 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 108 N PARK DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 302141645 |
| Phone Number | 7704613466 |
| Hospital Affiliation Ccn 1 | 110215 |
| Hospital Affiliation Lbn 1 | PIEDMONT FAYETTE HOSPITAL |
| Hospital Affiliation Ccn 2 | 110083 |
| Hospital Affiliation Lbn 2 | PIEDMONT HOSPITAL |
| Hospital Affiliation Ccn 3 | 110229 |
| Hospital Affiliation Lbn 3 | PIEDMONT NEWNAN HOSPITAL, INC |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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