Cassidy, Bruce Alan

Cassidy, Bruce Alan is an individual health care provider with primary practice located at 2001 Peachtree Rd Ne Suite 435, Atlanta GA 30309-1476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Cassidy, Bruce Alan can be contacted via phone (404) 352-1994.

Contact Information

Primary practice address
2001 Peachtree Rd Ne Suite 435 Atlanta GA 30309-1476
Phone: (404) 352-1994
Fax: (404) 352-9361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 17148 Georgia

Profile Details

NPI number 1013919729
LBN Legal business name Cassidy, Bruce Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jan 11th, 2008 - about 16 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 1013919729 NPPES
Georgia MEDICAID 00137563B

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