Individual
JOHN-DAVID CONSTANTINE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
DUGAS BUILDING (BG-1071) 1120 15TH STREET, AUGUSTA, GA 30912-0001
(706) 621-9442
Mailing address
811 BRYNWOOD DR, CHATTANOOGA, TN 37415-3303
(423) 432-7976
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
10829
GA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
V8591
TX
Other
Enumeration date
04/12/2019
Last updated
05/17/2025
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