Individual
ANDREW WILLIAM BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MLT
Contact information
Practice address
1700 CLAIRMONT RD, DECATUR, GA 30033-4032
(240) 723-5779
Mailing address
1123 SABLE XING, SUWANEE, GA 30024-3867
(240) 723-5779
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
84666
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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