Individual
DR. BARBARA A BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3890 REDWINE RD SW, SUITE 104, ATLANTA, GA 30331-5582
(404) 629-4740
(404) 629-4749
Mailing address
3890 REDWINE RD SW, SUITE 104, ATLANTA, GA 30331-5582
(404) 629-4740
(404) 629-4749
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
64338
GA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD15123
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07789240
—
MS
05
—
1065773
—
LA
Enumeration date
07/31/2006
Last updated
07/23/2010
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