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NPI Code Detail

MEDICARE: JORDAN H. BERNE M.D.

MEDICARE:   JORDAN H. BERNE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZD0900XDermatopathology (Pathology) Physician047399GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649270885
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN H. BERNE M.D.
Provider Business Mailing Address
First Line : 6095 BARFIELD RD NE
Second Line : SUITE 200
City : ATLANTA
State : GA
Zip : 30328-4408
Country : US
Telephone Number : 404-851-1766
Fax Number : 404-851-1767
Provider Business Practice Location Address
First Line : 6095 BARFIELD RD NE
Second Line : SUITE 200
City : ATLANTA
State : GA
Zip : 30328-4408
Country : US
Telephone Number : 404-851-1766
Fax Number : 404-851-1767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 07/08/2007

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Directions to “ JORDAN H. BERNE M.D.” Practice Location

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