Bruce Alan Cassidy
Pulmonary Disease
2001 Peachtree Rd Ne Suite 435
Atlanta
, Georgia 30309-1476
Bruce Alan Cassidy
Pulmonary Disease
2001 Peachtree Rd Ne Suite 435
Atlanta
, Georgia 30309-1476
(404) 352-9361
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Bruce Alan Cassidy
- Po Box 102847
- Atlanta, GA
- Zip : 30368-0001
- Fax : (404) 352-9361
- Phone : (404) 352-1994
Second Address
- Bruce Alan Cassidy
- 2001 Peachtree Rd Ne Suite 435
- Atlanta, GA
- Zip : 30309-1476
- Fax : (404) 352-9361
- Phone : (404) 352-1994
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | 17148 | GA |
National Provider Identifier
| NPI | 1013919729 |
|---|---|
| Provider Name | Bruce Alan Cassidy |
| First Address | Atlanta, GA 30368-0001 |
| Second Address | Atlanta, GA 30309-1476 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2005 |
| Last Update Date | 11/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00137563B | (05) | GA |
| D29090 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.