Provider Type Icon

DR. BERNADETTE MARIA MANDES WILDEMORE MD NPI 1487863858


NPI Information

NPI: 1487863858
Provider Name: DR. BERNADETTE MARIA MANDES WILDEMORE, MD
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

PECOS Registration: Yes

Address:
134 ANSLEY DR STE 500
DAHLONEGA, GA
ZIP 30533
Phone: (678) 853-2419
Get Directions

DR. Bernadette Maria Mandes Wildemore, MD is an anatomic pathology and clinical pathology pathology in Dahlonega, GA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Bernadette Maria Mandes Wildemore, MD NPI is 1487863858. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

134 ANSLEY DR STE 500
DAHLONEGA, GA
ZIP 30533-641
Phone: (678) 853-2419

The NPI 1487863858 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 6/20/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist2013-02274NORTH CAROLINANo
2174400000XSpecialist70607GEORGIANo
3174400000XSpecialistMD.33137ALABAMANo
4174400000XSpecialistMD430740PENNSYLVANIANo
5174400000XSpecialistMD36443SOUTH CAROLINANo
6174400000XSpecialist242668MASSACHUSETTSNo
7174400000XSpecialistMD50706TENNESSEENo
8207ZP0102XPathologyAnatomic Pathology & Clinical PathologyMD430740PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.