Individual
KAMAL BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
328 NEW FOREST CIR, SUWANEE, GA 30024-3854
(678) 928-1349
Mailing address
328 NEW FOREST CIR, SUWANEE, GA 30024-3854
(678) 928-1349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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