Individual
DR. DARLY M BERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
517 PUCKETT FERRY RD, GREENWOOD, SC 29649-8698
(864) 388-4325
(864) 388-4327
Mailing address
5500 MARYLAND WAY, BRENTWOOD, TN 37027-4948
(888) 830-4255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16288
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9337
MEDICARE PTAN
SC
05
—
GP5316
—
SC
05
—
TL3742
—
SC
Enumeration date
07/19/2005
Last updated
11/17/2015
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