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Individual

JESSE RANDALL BYRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1614 HWY 56, CREEDMOOR, NC 27522-8297
(919) 575-6103
(919) 575-6817
Mailing address
1614 HWY 56, CREEDMOOR, NC 27522-8297
(919) 575-6103
(919) 575-6817

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33000
NC
207R00000X
Internal Medicine Physician
Primary
33000
NC

Other

Enumeration date
06/14/2006
Last updated
09/11/2017
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