Individual
TERRI MELISSA BYARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
504 REDMOND RD NW, ROME, GA 30165-1416
(706) 235-3855
(706) 290-2382
Mailing address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165-1625
(706) 295-5331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN149469
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112514C
—
GA
Enumeration date
08/01/2011
Last updated
01/24/2012
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