Doctor Name: | MR. BRUCE A TOWNSEND |
NPI Number: | 1982960217 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ACA B.C.-HIS |
License Number: | HADS000593 |
Business Practice Address: | 1650 W Broad St Athens, GA - 306060001 |
Business Phone Number: | 7065485245 |
Business Fax Number: | 7065486533 |
Mailing Address: | 1650 W Broad St, ATHENS |
State: | GA |
Postal Code: | 306063550 |
Phone Number: | 7065485245 |
Fax Number: | 7065486533 |
NPI Enumeration Date: | 04/11/2012 |
NPI Last Update Date: | 04/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | HADS000593 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |