King, Bernardine M.
King, Bernardine M. is an individual health care provider with primary practice located at 535 Jesse Jewell Parkway Suite C, Gainesville GA 30501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. King, Bernardine M. can be contacted via phone (770) 534-9014.Contact Information
Primary practice address
535 Jesse Jewell Parkway Suite C
Gainesville GA 30501
Phone: (770) 534-9014
Fax: (770) 534-9012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 042071 | Georgia |
Profile Details
| NPI number | 1639145253 |
|---|---|
| LBN Legal business name | King, Bernardine M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jul 17th, 2015 - about 9 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 | 1639145253 | NPPES |
| Georgia | MEDICAID | 00735281A | |
| Georgia | MEDICAID | 000735281G |
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