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Individual

JORDAN H. BERNE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6095 BARFIELD RD NE, SUITE 200, ATLANTA, GA 30328-4408
(404) 851-1766
(404) 851-1767
Mailing address
6095 BARFIELD RD NE, SUITE 200, ATLANTA, GA 30328-4408
(404) 851-1766
(404) 851-1767

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
047399
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00837031A
GA
Enumeration date
07/29/2005
Last updated
07/08/2007
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