Individual
MARY E BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
5010 CAROLINA FOREST BLVD, MYRTLE BEACH, SC 29579-3579
(843) 236-2700
(843) 236-2726
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18845
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2839
—
SC
Enumeration date
06/06/2014
Last updated
03/12/2024
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