Byron, Mark D

Byron, Mark D is an sole proprietor health care provider with primary practice located at 825 S 1St St , Jesup GA 31545. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Byron, Mark D can be contacted via phone (912) 427-8033.

Contact Information

Primary practice address
825 S 1St St Jesup GA 31545
Phone: (912) 427-8033
Fax: (912) 427-7565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 47579 Georgia
Other Service Providers / Specialist 174400000X 047579 Georgia

Profile Details

NPI number 1154315877
LBN Legal business name Byron, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2005
Last updated Jun 27th, 2024 - about 5 months 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 1154315877 NPPES
Georgia MEDICAID 00833599B

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