Michael Bourland
Emergency Medical Services
11 Upper Riverdale Rd Sw
Riverdale
, Georgia 30274-2615
Michael Bourland
Emergency Medical Services
11 Upper Riverdale Rd Sw
Riverdale
, Georgia 30274-2615
(770) 994-4747
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Michael Bourland
- 235 Peachtree St Ne North Tower, Suite 2100
- Atlanta, GA
- Zip : 30303-1401
- Fax : (770) 994-4747
- Phone : (770) 994-9326
Second Address
- Michael Bourland
- 11 Upper Riverdale Rd Sw
- Riverdale, GA
- Zip : 30274-2615
- Fax : (770) 994-4747
- Phone : (770) 994-9326
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FAQs
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What type of doctor is Michael Bourland
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 33533 | GA |
National Provider Identifier
| NPI | 1194885673 |
|---|---|
| Provider Name | Michael Bourland |
| First Address | Atlanta, GA 30303-1401 |
| Second Address | Riverdale, GA 30274-2615 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.