# BYRDWORTH MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538563069
- **Authorized official:** STACY BYRD (OFFICER)
- **Authorized official phone:** (337) 446-2928

## Contact information

- **Practice address:** 3645 S BEGLIS PKWY, SUITE C, SULPHUR, LA 70665-8107
- **Practice address phone:** (337) 446-2928
- **Mailing address:** 3645 S BEGLIS PKWY, SUITE C, SULPHUR, LA 70665-8107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 024152 | LA | Yes |

## Other

- **Enumeration date:** 10/13/2014
- **Last updated:** 10/13/2014