Individual
CARLA BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 WHITLOCK AVE SW STE B, MARIETTA, GA 30064-1971
(770) 633-8323
Mailing address
3759 MASHIE CT NW, ACWORTH, GA 30101-5802
(770) 633-8323
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO073629
GA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/22/2022
Last updated
09/04/2022
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