Bruce, Gregory Keith

Bruce, Gregory Keith is an individual health care provider with primary practice located at 2501 Citico Ave , Chattanooga TN 37404-1127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Bruce, Gregory Keith can be contacted via phone (423) 697-2000.

Contact Information

Primary practice address
2501 Citico Ave Chattanooga TN 37404-1127
Phone: (423) 697-2000
Fax: (423) 697-2118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39536 Tennessee
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 39536 Tennessee

Profile Details

NPI number 1306814520
LBN Legal business name Bruce, Gregory Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306814520 NPPES
Tennessee MEDICAID 3333459

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