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Andrew Bourg, CRNA — NPI 1508615923, Carrollton, GA | NPI Central

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NPI 1508615923

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Andrew Bourg, CRNA

NPI 1508615923 · Certified Registered Nurse Anesthetist · Carrollton, GA

Provider details

NPI number: 1508615923
Entity type: Individual
Primary specialty: Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
Credential: CRNA
Sex: Male
Sole proprietor: No
License: RN280996 (GA)

Specialties & taxonomies

Certified Registered Nurse AnesthetistPrimary367500000XLicense RN280996 (GA)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

705 Dixie St

Carrollton, GA 30117-3818

Phone: (770) 812-9666

Approximate (ZIP-level) locationGet directions

More GA providers

Mailing address

2260 Powers Ferry Dr Se

Marietta, GA 30067-7177

Additional practice locations (1)

2220 N Druid Hills Rd Ne
Atlanta, GA 30329-3117
Phone: (404) 785-5437

Registry dates

Enumerated: 2024-05-16
Last updated: 2025-01-02
Certified: 2025-01-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.