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Mark Otto Bernardy, MD
Diagnostic Radiology Physician in Conyers, Georgia
NPI 1861478588

Mark Otto Bernardy is a Diagnostic Radiology Physician based in Conyers, GA and is specialized in Diagnostic Radiology. Mark Otto Bernardy practices in Conyers, GA and has the professional credentials of MD. The NPI Number for Mark Otto Bernardy is 1861478588 and holds a License No. 028502 (Georgia).

The current practice location address for Mark Otto Bernardy is 1031 Jimson Dr Se, Conyers, GA and can be reached out via phone at 800-879-6274 and via fax at 678-342-2547.

Location: 1031 Jimson Dr Se, Conyers, GA, 30013-2064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861478588
Provider Name
Mark Otto Bernardy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1031 Jimson Dr Se, Conyers, GA, 30013-2064
Phone Number
800-879-6274
Fax Number
678-342-2547
Provider Enumeration Date
12/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00256142 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1031 Jimson Dr Se
City
Conyers
State
Georgia
Zip
30013-2064
Phone Number
800-879-6274
Fax Number
678-342-2547
person
Provider Business Mailing Address Details
Address
1031 Jimson Dr Se
City
Conyers
State
Georgia
Zip
30013-2064
Phone Number
800-879-6274
Fax Number
678-342-2547
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
028502 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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