Ebon Anthony Bourne MD PA

NPI #1043494479 in Marietta, Georgia

Provider Information

NPI Number
1043494479
Entity Type
Organization
Organization Name
Ebon Anthony Bourne MD PA
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Dec 20, 2007
Last Updated
Mar 20, 2015

Practice Location

Address
2594 WEDDINGTON RDG NE
State
Georgia
ZIP Code
30068-2283
Phone
(954) 895-8240

Authorized Official

Name
DR. EBON ANTHONY BOURNE, MD
Title
MD/OWNER
Phone
(954) 895-8240

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Clinic/Center - Multi-SpecialtyMulti-Specialty

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