Individual
GRACE BERNALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
744 1ST ST, MACON, GA 31201
(478) 633-7600
Mailing address
744 1ST ST, MACON, GA 31201-6840
(478) 633-7600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
010608
GU
208M00000X
Hospitalist Physician
036158326
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2018
Last updated
06/16/2025
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