Individual
CORI LEANNE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-2053
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000349
OH
367H00000X
Anesthesiologist Assistant
8066
GA
367H00000X
Anesthesiologist Assistant
—
GA
Other
Enumeration date
06/22/2016
Last updated
07/01/2019
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