Jackson B Bruce MD

NPI 1063597243 - Family Medicine - 207Q00000X

NPI Details
NPI 1063597243
Gender Male
Enumeration Date 10/26/2006
Last Updated 09/15/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
115 BEATTIE PARK RD
PIEDMONT SC, 29673, US
Phone (864) 845-3331
Fax (864) 845-3152
Business Location
115 BEATTIE PARK RD
PIEDMONT SC, 29673, US
Phone (864) 845-3331
Fax (864) 845-3152
Toxanomy
Taxonomy Code 207Q00000X
License State South Carolina
License Number 19008
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According to our database, Dr. Jackson B Bruce MD NPI is 1063597243, taxonomy code is 207Q00000X and license number is 19008, license state is located at South Carolina. Jackson B Bruce MD physically located at 115 Beattie Park Rd, Piedmont SC, 29673. NPI Number Jackson B Bruce MD has the Individual type.

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1063597243 NPI number is provided on an as is basis without warranty of any kind. 1063597243 is maintained by the National Plan & Provider Enumeration System. The contents of Jackson B Bruce MD are for informational purposes only.