Individual
BRUCE G GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD NE, STE 910, ATLANTA, GA 30342-1731
(404) 255-3822
(404) 255-0495
Mailing address
5673 PEACHTREE DUNWOODY RD NE, STE 910, ATLANTA, GA 30342-1731
(404) 255-3822
(404) 255-0495
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
016803
GA
Other
Enumeration date
02/17/2006
Last updated
08/31/2020
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