Healthcare Provider Details

I. General information

NPI: 1154740702
Provider Name (Legal Business Name): SHERIE NICOLE BYRD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2014
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 COBB PARKWAY NORTH NW STE 302
ACWORTH GA
30101-4182
US

IV. Provider business mailing address

4550 COBB PARKWAY NORTH NW STE 302
ACWORTH GA
30101-4182
US

V. Phone/Fax

Practice location:
  • Phone: 770-917-8188
  • Fax: 770-974-0598
Mailing address:
  • Phone: 770-917-8188
  • Fax: 770-974-0598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number078410
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: