Byrd, Leah Rebecca

Byrd, Leah Rebecca is an individual health care provider with primary practice located at 146 E Hospital Dr Ste 550 , West Columbia SC 29169-4843. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Byrd, Leah Rebecca can be contacted via phone (803) 936-7410.

Contact Information

Primary practice address
146 E Hospital Dr Ste 550 West Columbia SC 29169-4843
Phone: (803) 936-7410
Fax: (803) 936-7412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1826 South Carolina

Profile Details

NPI number 1336497874
LBN Legal business name Byrd, Leah Rebecca
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2012
Last updated Oct 15th, 2020 - about 4 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 1336497874 NPPES
South Carolina MEDICAID 1336497874

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