Organization
R BRUCE PRINCE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R BRUCE PRINCE M.D. (OWNER/PHYSICAN)
(404) 634-1195
Entity
Organization
Contact information
Practice address
1945 CLIFF VALLEY WAY NE, SUITE 260, ATLANTA, GA 30329-2477
(404) 634-1195
(404) 321-3987
Mailing address
1945 CLIFF VALLEY WAY NE, SUITE 260, ATLANTA, GA 30329-2477
(404) 634-1195
(404) 321-3987
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
012360
GA
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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