Organization
EILEEN BYRD, DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN BYRD (OWNER)
(678) 860-9862
Entity
Organization
Contact information
Practice address
1136 CLEVELAND AVE, SUITE 305, EAST POINT, GA 30344-3618
(404) 762-9221
(404) 762-9223
Mailing address
1136 CLEVELAND AVE, SUITE 305, EAST POINT, GA 30344-3618
(404) 762-9221
(404) 762-9223
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000786
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP4637
MEDICARE GROUP NUMBER
—
Enumeration date
10/24/2007
Last updated
12/23/2010
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