Bruce, Barbara A

Bruce, Barbara A is an individual health care provider with primary practice located at 3890 Redwine Rd Sw Suite 104, Atlanta GA 30331-5582. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Bruce, Barbara A can be contacted via phone (404) 629-4740.

Contact Information

Primary practice address
3890 Redwine Rd Sw Suite 104 Atlanta GA 30331-5582
Phone: (404) 629-4740
Fax: (404) 629-4749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X MD15123 Louisiana
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 64338 Georgia

Profile Details

NPI number 1881600906
LBN Legal business name Bruce, Barbara A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 23rd, 2010 - about 15 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 1881600906 NPPES
Mississippi MEDICAID 07789240
Mississippi MEDICAID 1065773

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