Individual
DR. BRANDON THOMAS BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S ENOTA DR NE, SUITE 150, GAINESVILLE, GA 30501-3473
(770) 219-3202
(770) 219-3209
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
071050
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100077900
—
KY
Enumeration date
02/18/2008
Last updated
12/09/2020
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