Search › Georgia › 111N00000X
Legend Bourne, DC
NPI 1023743358 · on the registry since 2022
Practice
- Address
- 1982 Main St E Ste D
Snellville, GA 30078 - Phone
- (770) 979-5125
- Organisation at this address
- Hands And Heart Hospice Care
Lifestyle Pain Management And Wellness Center, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia