Individual
MS. MILLICENT M. BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1670 CLAIRMONT RD, 170-C, DECATUR, GA 30033-4004
(404) 321-6111
(404) 235-3038
Mailing address
3283 JACK RUSSELL RUN, LILBURN, GA 30047-7518
(404) 321-6111
(404) 235-3038
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN 144078
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN144078
NURSING LICENSE
GA
Enumeration date
06/30/2006
Last updated
07/08/2007
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