Individual
DR. LEGEND VERNON VINCENT BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1982 MAIN ST E STE D, SNELLVILLE, GA 30078-6461
(770) 979-5125
Mailing address
1982 MAIN ST E STE D, SNELLVILLE, GA 30078-6461
(770) 979-5125
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010798
GA
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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