Individual
MR. LARRY JASON BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1814 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5350
(910) 662-8765
(910) 362-9123
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-8765
(910) 362-9123
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0002-01782
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00283215
RAILRAD MEDICARE
—
Enumeration date
05/10/2006
Last updated
02/16/2023
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