NPI 1053385716

Bruce G Green, MD

Practitioner Urology Physician Atlanta, GA

Practice location

Address: 5673 Peachtree Dunwoody Rd NE STE 910, Atlanta, GA 30342-1731
Phone: (404) 255-3822
Fax: (404) 255-0495

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 016803 (GA)

Other Urology providers in Georgia →

Registry record

NPI: 1053385716
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Feb 2006
Record last updated: 31 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.