Individual
BRUCE DOUGLAS CLYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1310 13TH AVENUE, VA CLINIC, COLUMBUS, GA 31902
(706) 257-7200
(706) 653-6645
Mailing address
62 STILLWATERS GROVE, DADEVILLE, AL 36853
(256) 625-9206
(706) 653-6645
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-077041
AL
Other
Enumeration date
08/27/2006
Last updated
07/11/2007
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