Individual
BRUCE G TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2500 STARLING ST, BRUNSWICK, GA 31520-4265
(912) 466-5100
(912) 446-5113
Mailing address
2500 STARLING ST, BRUNSWICK, GA 31520-4265
(912) 466-5100
(912) 446-5113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
028910
GA
2085R0001X
Radiation Oncology Physician
Primary
028910
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00213844
MEDICARE RAILROAD
GA
Enumeration date
04/27/2006
Last updated
01/13/2022
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