Individual
GAITHER D BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
3770
SD
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
3770
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5611740
—
SD
Enumeration date
06/30/2005
Last updated
12/03/2013
Update your record
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