Byrd, Jeff W
Byrd, Jeff W is an individual health care provider with primary practice located at 130 N Broad St , Thomasville GA 31792-8132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Byrd, Jeff W can be contacted via phone (229) 228-6496.Contact Information
Primary practice address
130 N Broad St
Thomasville GA 31792-8132
Phone: (229) 228-6496
Fax: (229) 228-6510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 018100 | Georgia |
Profile Details
| NPI number | 1396708558 |
|---|---|
| LBN Legal business name | Byrd, Jeff W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jan 4th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396708558 | NPPES |
| Georgia | MEDICAID | 00269761A |
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