Byron, Debbie L

Byron, Debbie L is an sole proprietor health care provider with primary practice located at 252 Tony Trl Se , Mableton GA 30126-3655. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Byron, Debbie L can be contacted via phone (678) 662-9406.

Contact Information

Primary practice address
252 Tony Trl Se Mableton GA 30126-3655
Phone: (678) 662-9406
Fax: (770) 944-9061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X POD000721 Georgia
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X POD000721 Georgia

Profile Details

NPI number 1902997026
LBN Legal business name Byron, Debbie L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2006
Last updated Sep 26th, 2011 - about 14 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 1902997026 NPPES
Georgia MEDICAID 00630374D
Georgia MEDICAID 000630374F

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