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Individual

BESSIE BYRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
213 W 4TH ST, ADEL, GA 31620-2603
(229) 292-4203
Mailing address
PO BOX 83, ADEL, GA 31620-0083

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
GA

Other

Enumeration date
09/26/2016
Last updated
09/26/2016
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