Byrd, Jenny M

Byrd, Jenny M is an individual health care provider with primary practice located at 711 Cook Dr Suite 100, Athens TN 37303-3486. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Byrd, Jenny M can be contacted via phone (423) 744-7585.

Contact Information

Primary practice address
711 Cook Dr Suite 100 Athens TN 37303-3486
Fax: (423) 744-7075
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD20239 Tennessee

Profile Details

NPI number 1457363384
LBN Legal business name Byrd, Jenny M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457363384 NPPES
Tennessee MEDICAID 3050659

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