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Individual

DR. OLIVER WAYNE BYRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
603 S ARCHUSA AVE, QUITMAN, MS 39355-2331
(601) 776-2123
(601) 776-6006
Mailing address
PO BOX 5208, MERIDIAN, MS 39302-5208
(601) 703-4282
(601) 703-4597

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06986
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00016364
MS
01
080185587
RAILROAD MEDICARE
01
730-07884
BLUE CROSS OF AL
Enumeration date
11/20/2005
Last updated
11/07/2013
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