EBON A BOURNE MD

WELLSTAR MEDICAL GROUP, LLC

Dr EBON A BOURNE MD is a male medical professional, specializing in Internal Medicine. He graduated in 1999.

Contact

WELLSTAR MEDICAL GROUP, LLC

4550 COBB PKWY NW
ACWORTH
GA
30101

Tel:

EBON A BOURNE MD Information

Npi 1225178825
Pac Id 1254368947
Professional Enrollment Id I20121116000080
Last Name BOURNE
First Name EBON
Middle Name A
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1999
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WELLSTAR MEDICAL GROUP, LLC
Group Practice Pac Id 6709065402
Number Of Group Practice Members 1264
Line 1 Street Address 4550 COBB PKWY NW
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City ACWORTH
State GA
Zip Code 30101
Phone Number
Hospital Affiliation Ccn 1 110035
Hospital Affiliation Lbn 1 WELLSTAR KENNESTONE HOSPITAL
Hospital Affiliation Ccn 2 110042
Hospital Affiliation Lbn 2 WELLSTAR PAULDING HOSPITAL
Hospital Affiliation Ccn 3 110030
Hospital Affiliation Lbn 3 CARTERSVILLE MEDICAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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