Brown, Bruce Allen

Brown, Bruce Allen is an individual health care provider with primary practice located at 1330 Interstate Pkwy , Augusta GA 30909-5625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Brown, Bruce Allen can be contacted via phone (706) 651-2020.

Contact Information

Primary practice address
1330 Interstate Pkwy Augusta GA 30909-5625
Phone: (706) 651-2020
Fax: (706) 855-6674
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 055183 Georgia

Profile Details

NPI number 1508927310
LBN Legal business name Brown, Bruce Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated May 28th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508927310 NPPES
Other 4309192 CIGNA
MEDICAID 504928015A CIGNA
Other 18BDGJN CIGNA
Other 390605 CIGNA
Other 7716637 CIGNA

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