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Individual

BYRON T BARNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NMTCB

Contact information

Practice address
5604 WENDY BAGWELL PKWY, HIRAM, GA 30141-7809
(678) 384-1711
(678) 384-1721
Mailing address
11990 OLMSTEAD DR, FAYETTEVILLE, GA 30215-6687
(678) 384-1711
(678) 384-1721

Taxonomy

Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
022347
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022347
NMTCB
GA
Enumeration date
06/26/2007
Last updated
07/08/2007
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