Individual
BYARD EDWARDS III
Active
Individual
BYARD EDWARDS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
43756
TN
2085R0202X
Diagnostic Radiology Physician
Primary
43756
TN
2085R0202X
Diagnostic Radiology Physician
A80402
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509263
MEDICAID - MTI
TN
05
—
1509263
—
TN
01
—
3001761
MEDICARE PTAN FOR NOL
TN
01
—
3001762
MEDICARE PTAN FOR ADI
TN
01
—
4203618
BCBS TN
TN
01
—
4291547
BCBS - MTI
TN
05
—
7100049270
—
KY
Enumeration date
07/24/2006
Last updated
06/04/2014
Update your record
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