Individual
DR. BRUCE E ALAYOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE 409, AUSTELL, GA 30106-6810
(770) 732-9100
(770) 528-9924
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
52416
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122888416I
—
GA
05
—
122888416J
—
GA
05
—
122888416K
—
GA
05
—
122888416L
—
GA
05
—
122888416M
—
GA
Enumeration date
03/09/2006
Last updated
10/31/2019
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