Organization
BOURG CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ALLEN BOURG D.C. (PRESIDENT)
(864) 292-3291
Entity
Organization
Contact information
Practice address
9 MCKENNA COMMONS CT, GREENVILLE, SC 29615-2633
(864) 292-3291
(864) 292-3292
Mailing address
9 MCKENNA COMMONS CT, GREENVILLE, SC 29615-2633
(864) 292-3291
(864) 292-3292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
926
SC
Other
Enumeration date
07/16/2007
Last updated
07/31/2012
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