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Individual

MRS. TERRI LYNN BYRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4000
Mailing address
188 SULLIVAN KILRAIN RD, HATTIESBURG, MS 39402-9022
(601) 549-7005

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
902520
MS
363L00000X
Nurse Practitioner
Primary
902520
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05225058
MS
Enumeration date
02/26/2018
Last updated
08/16/2022
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