Individual
NATHANIEL BYRAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5951 POYNER VILLAGE PARKWAY, SUITE 101, RALEIGH, NC 27616
(919) 339-9817
Mailing address
4628 YOUNGSBURY COURT, RALEIGH, NC 27604
(919) 339-9817
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
C84261
NC
335E00000X
Prosthetic/Orthotic Supplier
C84261
NC
Other
Enumeration date
10/20/2016
Last updated
10/24/2016
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