Individual
DR. PAUL JEROME BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10700 MEDLOCK BRIDGE RD, SUITE 102, DULUTH, GA 30097-8456
(678) 691-5351
(770) 685-1241
Mailing address
10700 MEDLOCK BRIDGE RD, SUITE 102, DULUTH, GA 30097-8456
(678) 691-5351
(770) 685-1241
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
060045
GA
2080P0205X
Pediatric Endocrinology Physician
2007015922
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204462808
—
MO
Enumeration date
06/20/2007
Last updated
10/28/2011
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