Individual
BRUCE ALAN CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 PEACHTREE RD NE, SUITE 435, ATLANTA, GA 30309-1476
(404) 352-1994
(404) 352-9361
Mailing address
PO BOX 102847, ATLANTA, GA 30368-0001
(404) 352-1994
(404) 352-9361
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
17148
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00137563B
—
GA
Enumeration date
08/12/2005
Last updated
01/11/2008
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