Bernard, Paul Jerome
Bernard, Paul Jerome is an individual health care provider with primary practice located at 10700 Medlock Bridge Rd Suite 102, Duluth GA 30097-8456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Bernard, Paul Jerome can be contacted via phone (678) 691-5351.Contact Information
Primary practice address
10700 Medlock Bridge Rd Suite 102
Duluth GA 30097-8456
Phone: (678) 691-5351
Fax: (770) 685-1241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 2007015922 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | 060045 | Georgia |
Profile Details
| NPI number | 1891990743 |
|---|---|
| LBN Legal business name | Bernard, Paul Jerome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2007 |
| Last updated | Oct 28th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891990743 | NPPES |
| Missouri | MEDICAID | 204462808 |
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