Doctor Name: | DR. MARCIA V BYRD |
NPI Number: | 1932112703 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 023141 |
Business Practice Address: | 11050 Crabapple Road Ste 105b Roswell, GA - 30075 |
Business Phone Number: | 7705871711 |
Business Fax Number: | 7705188810 |
Mailing Address: | 11050 Crabapple Road, Ste 105b ROSWELL |
State: | GA |
Postal Code: | 30075 |
Phone Number: | 7705871711 |
Fax Number: | 7705188810 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 023141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |