Search › Georgia › 183500000X
Taylor Bourdage
NPI 1972487692 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1931 Jesse Jewell Pkwy Se
Gainesville, GA 30501 - Phone
- (470) 252-3185
- Organisation at this address
- The Kroger Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-05
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