Byrd, Ricky Ray
Byrd, Ricky Ray is an individual health care provider with primary practice located at 2011 Westend Dr , Greensboro GA 30642-5146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Byrd, Ricky Ray can be contacted via phone (706) 453-9803.Contact Information
Primary practice address
2011 Westend Dr
Greensboro GA 30642-5146
Phone: (706) 453-9803
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD30439 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 068706 | Georgia |
Profile Details
| NPI number | 1992865752 |
|---|---|
| LBN Legal business name | Byrd, Ricky Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 16th, 2013 - about 11 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 | 1992865752 | NPPES |
| Tennessee | MEDICAID | 3842282 |
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