Healthcare Provider Details

I. General information

NPI: 1457309643
Provider Name (Legal Business Name): SHERI C BYRD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 06/10/2022
Certification Date: 06/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7280C REIDVILLE RD
WOODRUFF SC
29388
US

IV. Provider business mailing address

7280C REIDVILLE RD
WOODRUFF SC
29388-1618
US

V. Phone/Fax

Practice location:
  • Phone: 864-486-0760
  • Fax: 864-486-0761
Mailing address:
  • Phone: 864-486-0760
  • Fax: 864-486-0761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number16613
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: