Individual
DR. MARCIA CHARMIN MIEREZ BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
202 HOSPITAL ST, MOULTON, AL 35650-1218
(256) 974-2272
Mailing address
510 CREEK BED CIRCLE NW, MADISON, AL 35757-6348
(305) 509-2841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0S 9130
FL
207Q00000X
Family Medicine Physician
Primary
DO1296
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013964261
NPI
AL
05
—
142883
—
AL
05
—
2697131-00
—
FL
Enumeration date
05/30/2006
Last updated
02/14/2023
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