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:
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Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891990743 NPPES
Missouri MEDICAID 204462808

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