Provider Demographics
NPI:1710967476
Name:BRUCE, JAMES F JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
Last Name:BRUCE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1805 VERNON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-4041
Mailing Address - Country:US
Mailing Address - Phone:706-884-2691
Mailing Address - Fax:706-845-7314
Practice Address - Street 1:1805 VERNON RD
Practice Address - Street 2:SUITE B
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-4041
Practice Address - Country:US
Practice Address - Phone:706-884-2691
Practice Address - Fax:706-845-7314
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2012-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA023336207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00244945DMedicaid
GA00244945DMedicaid