Ebon Anthony Bourne MD PA
Ebon Anthony Bourne MD PA is an Internal Medicine Physician in Marietta, Georgia. Licensed in Florida and Georgia. Registered with an NPI since 2007.
- Licensed in
- FL, GA
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2594 Weddington Rdg NEMarietta, GA 30068-2283
Phone: (954) 895-8240
Fax: (678) 504-5346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X · Licence 68373 (GA) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence ME84326 (FL) |
Record details
| NPI number | 1043494479 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ebon Bourne — Md/Owner · (954) 895-8240 |
| NPI enumerated | December 20, 2007 |
| Last updated in NPPES | March 20, 2015 |
| Mailing address | 2595 Weddington Ridge, Marietta, GA 30068 |
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