Individual
MR. TIMOTHY DEWAYNE BYRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
720 GALLATIN STREET, SUITE 500, HUNTSVILLE, AL 35801-4414
(256) 551-6510
(256) 551-6507
Mailing address
720 GALLATIN STREET, SUITE 500, HUNTSVILLE, AL 35801-4414
(256) 551-6510
(256) 551-6507
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-075145
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105290
—
AL
05
—
891010370
—
AL
Enumeration date
11/21/2006
Last updated
09/19/2014
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