Individual
DR. CHRISTINA L BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, EMERGENCY MEDICINE, CHARLESTON, SC 29425-8908
(843) 792-1414
(843) 792-9700
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-9710
(843) 792-9700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200100775
NC
207P00000X
Emergency Medicine Physician
30484
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129EW
BCBS NC
NC
05
—
89129EW
—
NC
01
—
930109136
RAILROAD MEDICARE
NC
Enumeration date
11/30/2005
Last updated
03/24/2008
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