| Doctor Name: | GREGARY BYERS |
| NPI Number: | 1144636119 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP-C |
| License Number: | 18850 |
| Business Practice Address: | 622 Nuckolls Rd Bolivar, TN - 380081532 |
| Business Phone Number: | 7316582120 |
| Business Fax Number: | |
| Mailing Address: | 165 Upton Rd, MIDDLETON |
| State: | TN |
| Postal Code: | 380524322 |
| Phone Number: | 7316092600 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2014 |
| NPI Last Update Date: | 07/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 18850 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |