MEDICARE: JEFFREY BYRD

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	208000000X	Pediatrics Physician	2005-00413	NC

General Provider Information

NPI Number	:	1699758557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY BYRD

Provider Business Mailing Address
First Line	:	105 YADKIN ST
Second Line	:
City	:	ALBEMARLE
State	:	NC
Zip	:	28001-3449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 WAYNE MEMORIAL DR
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-9494
Country	:	US
Telephone Number	:	919-587-4394
Fax Number	:	919-587-2998

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

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	11/07/2024

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Directions to “ JEFFREY BYRD ” Practice Location

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