MEDICARE: TERRI M BYRD M.D.

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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	200401177	NC
2	207R00000X	Internal Medicine Physician	200401177	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00319497	OTHER		RAILROAD MEDICARE

General Provider Information

NPI Number	:	1457351462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRI M BYRD M.D.

Provider Business Mailing Address
First Line	:	51 CORNERSTONE CT
Second Line	:
City	:	MC CAYSVILLE
State	:	GA
Zip	:	30555-1789
Country	:	US
Telephone Number	:	910-489-2921
Fax Number	:

Provider Business Practice Location Address
First Line	:	3170 WAYAH RD
Second Line	:
City	:	FRANKLIN
State	:	NC
Zip	:	28734-8120
Country	:	US
Telephone Number	:	910-489-2921
Fax Number	:	828-524-1455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	07/17/2024

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Directions to “ TERRI M BYRD M.D.” Practice Location

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