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NPI Code Detail

MEDICARE: BYRON A LITTLEFIELD D.O.

MEDICARE: BYRON A LITTLEFIELD D.O.
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
1207Q00000XFamily Medicine Physician028810GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447279740
Entity Type Code : Individual
Provider Name (Legal Business Name) : BYRON A LITTLEFIELD D.O.
Provider Business Mailing Address
First Line : PO BOX 12938
Second Line : C/O CLINIC MANAGEMENT
City : CALHOUN
State : GA
Zip : 30703-7013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21 COMMERCE PKWY
Second Line :
City : ADAIRSVILLE
State : GA
Zip : 30103-2009
Country : US
Telephone Number : 770-773-9201
Fax Number : 770-773-9219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 12/18/2018

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Directions to “ BYRON A LITTLEFIELD D.O.” Practice Location

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