Individual
MR. CHARLES WAYNE BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
(318) 483-5065
Mailing address
630 WYCLIFFE WAY, ALEXANDRIA, LA 71303-2900
(318) 442-7697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
LA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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