Individual
MARK D BYRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 S 1ST ST, JESUP, GA 31545
(912) 427-8033
(912) 427-7565
Mailing address
825 S 1ST STREET, JESUP, GA 31545
(912) 427-8033
(912) 427-7565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
047579
GA
208800000X
Urology Physician
Primary
47579
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00833599B
—
GA
Enumeration date
09/08/2005
Last updated
06/27/2024
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