Organization
LISA BYRD HEALTHCARE INC
Active
Other names
Bolton Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BYRD PHD, NP (PRESIDENT)
(601) 866-7723
Entity
Organization
Contact information
Practice address
115 W MADISON ST, BOLTON, MS 39041-3209
(601) 866-7723
(601) 866-7773
Mailing address
115 W MADISON ST, BOLTON, MS 39041-3209
(601) 866-7723
(601) 866-7773
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0811435
MS
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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