Individual
BYRO N KEITH SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
6233 PARIS CV, FAIRBURN, GA 30213-5420
(404) 232-9909
Mailing address
6233 PARIS CV, FAIRBURN, GA 30213-5420
(404) 232-9909
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT008153
GA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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