Individual
ERICK BOURNIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 GLYNCO PARKWAY, SUITE 30, BRUNSWICK, GA 31525-7930
(912) 267-1026
(912) 265-5415
Mailing address
3025 SHRINE RD, SUITE 280, BRUNSWICK, GA 31520-4784
(912) 466-7311
(912) 466-7313
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
33280
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00435773B
—
GA
01
—
110181970
RR MEDICARE
GA
Enumeration date
07/29/2006
Last updated
03/07/2023
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