Individual
DR. BRUCE TERENCE KALMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 CUMMING HWY STE 102, CANTON, GA 30115-8071
(678) 593-1295
(678) 593-1294
Mailing address
2020 CUMMING HWY STE 102, CANTON, GA 30115-8071
(678) 593-1295
(678) 593-1294
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
54441
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I117290
MEDICARE PTAN
GA
05
—
667854561G
—
GA
Enumeration date
10/13/2006
Last updated
08/15/2024
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