Organization
PEDIATRIC ENDOCRINE SPECIALISTS OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JEROME BERNARD MD (PRESIDENT)
(314) 374-1646
Entity
Organization
Contact information
Practice address
10700 MEDLOCK BRIDGE RD, SUITE 102, DULUTH, GA 30097-8456
(678) 691-5351
(770) 685-1241
Mailing address
10700 MEDLOCK BRIDGE RD, SUITE 102, DULUTH, GA 30097-8456
(678) 691-5351
(770) 685-1241
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
60045
GA
Other
Enumeration date
08/16/2011
Last updated
03/30/2012
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