Individual
DR. WILFRIDO D BERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 LEBANON HWY, SUITE B, CARTHAGE, TN 37030-2955
(615) 735-0700
(615) 735-5451
Mailing address
PO BOX 176, CARTHAGE, TN 37030-0176
(615) 735-0700
(615) 735-5451
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11479
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3170708
—
TN
Enumeration date
09/16/2005
Last updated
03/05/2008
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