Individual
DR. BEAU BENJAMIN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365B CLIFTON RD NE, SUITE B-3600, ATLANTA, GA 30322-1013
(404) 778-5360
Mailing address
1365B CLIFTON RD NE, SUITE B-3600, ATLANTA, GA 30322-1013
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
057783
GA
Other
Enumeration date
12/08/2005
Last updated
07/08/2008
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