Andre Bourg, MD is a student in an organized health care education training program in Birmingham, AL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Andre Bourg, MD NPI is 1871174508. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
625 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35249-900
Phone: (205) 934-4696
The enumeration date for this NPI number is 4/15/2021 and was last updated on 4/15/2021.