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NPI Code Detail

MEDICARE: APRIL FULLER BYARS

MEDICARE: APRIL FULLER BYARS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner22303SC
2324500000XSubstance Abuse Rehabilitation Facility22303SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SCE3529068OTHERSCMEDICARE PIN
2SCE3525019OTHERSCMEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396214276
Entity Type Code : Individual
Provider Name (Legal Business Name) : APRIL FULLER BYARS
Provider Business Mailing Address
First Line : PO BOX 743070
Second Line :
City : ATLANTA
State : GA
Zip : 30374-3070
Country : US
Telephone Number : 864-560-4304
Fax Number : 864-560-4413
Provider Business Practice Location Address
First Line : 101 E WOOD ST STE 401
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-3040
Country : US
Telephone Number : 864-560-6654
Fax Number : 864-560-7353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2018
Last Update Date : 01/11/2026

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Directions to “ APRIL FULLER BYARS ” Practice Location

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