Individual
JACOB BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1255 GA-54, FAYETTEVILLE, GA 30214
(770) 719-7000
Mailing address
211 TIVERTON TRL, PEACHTREE CITY, GA 30269-2716
(678) 855-1108
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
9043
GA
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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