Individual
MRS. BERNARDINE M. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
535 JESSE JEWELL PARKWAY, SUITE C, GAINESVILLE, GA 30501
(770) 534-9014
(770) 534-9012
Mailing address
535 JESSE JEWELL PARKWAY, SUITE C, GAINESVILLE, GA 30501
(770) 534-9014
(770) 534-9012
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
042071
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000735281G
—
GA
05
—
00735281A
—
GA
Enumeration date
02/23/2006
Last updated
07/17/2015
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