Bruce G Green MD

NPI 1053385716 - Urology - 208800000X

NPI Details
NPI 1053385716
Gender Male
Enumeration Date 02/17/2006
Last Updated 01/24/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
5673 PEACHTREE DUNWOODY RD NE
STE 910
ATLANTA GA, 30342-1731, US
Phone (404) 255-3822
Fax (404) 255-0495
Business Location
5673 PEACHTREE DUNWOODY RD NE
STE 910
ATLANTA GA, 30342-1731, US
Phone (404) 255-3822
Fax (404) 255-0495
Toxanomy
Taxonomy Code 208800000X
License State Georgia
License Number 016803
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According to our database, Bruce G Green MD NPI is 1053385716, taxonomy code is 208800000X and license number is 016803, license state is located at Georgia. Bruce G Green MD physically located at 5673 Peachtree Dunwoody Rd Ne, Atlanta GA, 30342-1731. NPI Number Bruce G Green MD has the Individual type.

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1053385716 NPI number is provided on an as is basis without warranty of any kind. 1053385716 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce G Green MD are for informational purposes only.