Byrd, Jeremy Michael

Byrd, Jeremy Michael is an individual health care provider with primary practice located at 200 N Nelson Drive , Fountain Inn SC 29644. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Byrd, Jeremy Michael can be contacted via phone (864) 522-6270.

Contact Information

Primary practice address
200 N Nelson Drive Fountain Inn SC 29644
Phone: (864) 522-6270
Fax: (864) 522-6275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 28058 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28058 South Carolina

Profile Details

NPI number 1902906712
LBN Legal business name Byrd, Jeremy Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 20th, 2022 - about 3 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 1902906712 NPPES
South Carolina MEDICAID 280582
South Carolina Other P00801532

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