Provider Demographics
NPI:1205065505
Name:BERNARD, RENAE LYNNE (MD)
Entity type:Individual
Prefix:DR
First Name:RENAE
Middle Name:LYNNE
Last Name:BERNARD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1120 15TH ST
Mailing Address - Street 2:MEDICAL COLLEGE OF GEORGIA- EMERGENCY MEDICINE AF 2044
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30912-0004
Mailing Address - Country:US
Mailing Address - Phone:706-726-9770
Mailing Address - Fax:706-721-7718
Practice Address - Street 1:1120 15TH ST
Practice Address - Street 2:MEDICAL COLLEGE OF GEORGIA- EMERGENCY MEDICINE AF 2044
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-726-9770
Practice Address - Fax:706-721-7718
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2022-08-16
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Provider Licenses
StateLicense IDTaxonomies
GA62879207P00000X
MO2015032691207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine