Cori Leanne Bruce, CAA
Anesthesiologist Assistant in Stockbridge, GA. Individual provider (NPI-1).
NPI number1194176008
StatusActive
Last updated in NPPESJul 1, 2019
Details
- NPI
- 1194176008
- Entity type
- Individual (NPI-1)
- Name
- Cori Leanne Bruce
- Credential
- CAA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2016
- Last updated
- Jul 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 67.000349 | OH | Yes |
| 367H00000X | Anesthesiologist Assistant | – | GA | |
| 367H00000X | Anesthesiologist Assistant | 8066 | GA |
Practice location
1133 Eagles Landing PkwyStockbridge, GA 30281-5085
Phone 678-604-2053
Mailing address
Po Box 551420Fort Lauderdale, FL 33355-1420
Phone 800-243-3839 · Fax 855-851-4405
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All 31 Anesthesiologist Assistant providers in Stockbridge · All 2,378 providers in Stockbridge
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