Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD83943 | SC |
NPI | 1376938936 |
---|---|
Provider Name | Adrienne B Bruce |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29615-3547 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2015 |
Last Update Date | 02/12/2020 |