Individual
DR. STEPHEN A. BYRNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
224 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 479-4011
(770) 809-5011
Mailing address
224 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 479-4011
(770) 809-5011
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000515
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000283687A
—
GA
05
—
000283687B
—
GA
Enumeration date
08/23/2005
Last updated
05/08/2013
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