Individual
MARK T. BYRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 PATTERSON ST, NASHVILLE, TN 37203-1538
(615) 342-1000
Mailing address
PO BOX 633819, CINCINNATI, OH 45263-0001
(865) 292-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
028482
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3045721
BLUECROSS
TN
05
—
3809694
—
TN
05
—
3809697
—
TN
05
—
3809698
—
TN
01
—
4150247
BLUECROSS
TN
01
—
P00248106
RAILROAD MEDICARE
TN
01
—
P00384359
RAILROAD MEDICARE
TN
Enumeration date
05/31/2006
Last updated
11/07/2007
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