Individual
DR. CHARMAINE A. BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3469 LAWRENCEVILLE HWY STE 103, TUCKER, GA 30084-5889
(770) 939-6480
Mailing address
1500 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3257
(321) 615-4997
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
GAA-NP000627
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11010095
FL
Other
Enumeration date
11/06/2020
Last updated
02/14/2023
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