R Bruce Prince MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

012360 Issued in GA

Legal business name

R BRUCE PRINCE MD PC

Practice address

1945 Cliff Valley Way NE
Suite 260
Atlanta, GA 30329-2477

Phone

(404) 634-1195

Fax

(404) 321-3987

NPI assigned

May 9, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. R Bruce Prince, M.D.

Title

Owner/Physican

Phone

(404) 634-1195

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1043579212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 CLIFF VALLEY WAY NE",
            "address_2": "SUITE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292477",
            "telephone_number": "404-634-1195",
            "fax_number": "404-321-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 CLIFF VALLEY WAY NE",
            "address_2": "SUITE 260",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292477",
            "telephone_number": "404-634-1195",
            "fax_number": "404-321-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R BRUCE PRINCE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER/PHYSICAN",
        "authorized_official_telephone_number": "404-634-1195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "012360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.