Individual
MARK ALLEN BYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
(334) 615-8418
Mailing address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
(334) 615-8418
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
26286
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051555203
—
AL
05
—
945575290A
—
GA
Enumeration date
09/14/2005
Last updated
10/12/2020
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