Individual
PATRICK J. BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE MEADOWS PARKWAY, MEADOWS REGIONAL MEDICAL CENTER, VIDALIA, GA 30474
(912) 538-7777
(912) 538-7070
Mailing address
801 JACKSON ST, VIDALIA, GA 30474-5002
(912) 293-1279
(912) 538-7070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101030768
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010266891
—
VA
05
—
6027105
—
GA
Enumeration date
07/12/2005
Last updated
04/19/2012
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