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Individual

MR. JAMES D. BYRNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20 WEST BUNK STREET, SUITE 6, PETERSBURG, VA 23803-3279
(804) 862-8002
(804) 862-8023
Mailing address
20 WEST BUNK STREET, SUITE 7 DISTRICT 19 COMMUNITY SERVICES BOARD, PETERSBURG, VA 23803-3279
(804) 862-8054
(804) 863-1669

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101237171
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010238315
VA
01
080441M
SENTARA
VA
01
186451
ANTHEM BCBS
VA
01
3128536
ALLIANCE PPO
VA
01
4670720
AETNA
VA
05
4945280
VA
01
521650
VALUE OPTIONS
VA
01
560703000
MAGELLAN
VA
Enumeration date
07/03/2006
Last updated
12/16/2014
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