Dr EBON A BOURNE MD is a male medical professional, specializing in Internal Medicine. He graduated in 1999.
WELLSTAR MEDICAL GROUP, LLC
4550 COBB PKWY NW
ACWORTH
GA
30101
Tel:
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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