Individual
LEE BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
690 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2487
(336) 526-2619
(336) 526-0686
Mailing address
690 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2487
(336) 526-2619
(336) 526-0686
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
201301359
NC
Other
Enumeration date
04/01/2010
Last updated
11/14/2016
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