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Individual
DR. LARRY N BYRD
Active
Individual
DR. LARRY N BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14759
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147594
—
SC
01
—
571020809002
BCBS SC
SC
01
—
571020809034
TRICARE
SC
Enumeration date
05/24/2006
Last updated
11/02/2020
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