Individual
MS. MARIA CHRISTINE BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 W STONE DR STE 4B, KINGSPORT, TN 37660-3365
(423) 578-1570
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110007598
VA
363A00000X
Physician Assistant
PA0000004391
TN
363AM0700X
Medical Physician Assistant
Primary
PA04391
TN
Other
Enumeration date
05/18/2021
Last updated
08/26/2024
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