Individual
TOMMY GENE BOURGEOIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5020 CAROTHERS PKWY, FRANKLIN, TN 37067-6009
(615) 685-7086
Mailing address
1624 RIVERSIDE DR, NASHVILLE, TN 37216-4012
(985) 870-1041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4366
TN
Other
Enumeration date
12/08/2020
Last updated
01/13/2026
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