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Contact Information

JACKSON B BRUCE, MD
115 BEATTIE PARK RD
PIEDMONT, SC29673
 Phone: 864-845-3331
 Fax: 864-845-3152
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JACKSON B BRUCE · (Male)

NPI # 1063597243
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2006
Last updated 09/15/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 19008
  • SC Medicaid 19008
Hospital affiliation(s)
  • GREENVILLE MEMORIAL HOSPITAL - (Acute Care)
    701 GROVE RD
    GREENVILLE, SC 29605
  • ST FRANCIS-DOWNTOWN - (Acute Care)
    ONE ST FRANCIS DR
    GREENVILLE, SC 29601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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