Individual
PHILLIP E BYRD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(770) 751-2500
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(770) 779-2172
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
052421
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
052421
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174985498
—
GA
Enumeration date
02/13/2006
Last updated
11/20/2023
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