Individual
ERIC STEVEN BOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 PRINCE AVE STE 400, ATHENS, GA 30606-5812
(706) 425-1400
(706) 548-0184
Mailing address
1010 PRINCE AVE STE 400, ATHENS, GA 30606-5812
(706) 425-1400
(706) 548-0184
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
079719
GA
208600000X
Surgery Physician
79719
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576007863190
BCBS OF SC
SC
05
—
GP2489
—
SC
01
—
P00378890
RR MEDICARE
SC
Enumeration date
12/08/2005
Last updated
04/02/2026
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