Individual
DR. MICHAEL JEROME BERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1109 WILSON ST, NEWBERRY, SC 29108-3443
(803) 321-3035
(803) 321-3034
Mailing address
1109 WILSON ST, NEWBERRY, SC 29108-3443
(803) 321-3035
(803) 321-3034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16266
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TL3672
—
SC
Enumeration date
07/19/2005
Last updated
01/19/2022
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