Individual
TENEKA BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 SHAGBARK LN, MCDONOUGH, GA 30252-8737
(404) 934-4744
Mailing address
319 SHAGBARK LN, MCDONOUGH, GA 30252-8737
(404) 934-4744
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN061854
GA
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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