Individual
BRUCE WARREN HERSHATTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
DEPARTMENT OF RADIATION ONCOLOGY/EMORY UNIVERSITY, 1320 CLIFTON ROAD, ATLANTA, GA 30322
(404) 372-9456
(404) 327-4996
Mailing address
4400 MOUNT PARAN PKWY, ATLANTA, GA 30327
(404) 321-6111
(404) 327-4996
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
029465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00340788A
—
GA
Enumeration date
06/16/2006
Last updated
07/08/2007
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