Individual
BRUCE C FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3651 WHEELER RD, BURN CENTER, AUGUSTA, GA 30909-6521
(706) 504-4651
(706) 504-4639
Mailing address
PO BOX 16187, AUGUSTA, GA 30919-2187
(706) 504-4651
(706) 504-4639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
040066
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
040066
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000666982E
—
GA
05
—
000666982F
—
GA
05
—
G40066
—
SC
Enumeration date
11/16/2005
Last updated
10/03/2011
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