Individual
DR. JAMES KENNETH BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 724-6100
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 724-6100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
072220
GA
207Y00000X
Otolaryngology Physician
LL29789
SC
208600000X
Surgery Physician
072220
GA
208600000X
Surgery Physician
LL29789
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072220
GA LICENSES
GA
Enumeration date
06/29/2007
Last updated
03/07/2023
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