Individual
BRUCE ANDREW SALZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4395 JOHNS CREEK PKWY, SUITE 130, SUWANEE, GA 30024-6048
(678) 957-0057
(678) 957-0047
Mailing address
4395 JOHNS CREEK PKWY, SUITE 130, SUWANEE, GA 30024-6048
(678) 957-0057
(678) 957-0047
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
29775
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000424476F
—
GA
01
—
581077643
TAX ID
GA
Enumeration date
12/07/2005
Last updated
10/06/2014
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