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Individual

DEAUDREY STOKES BYRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
26 TOWER RD NE, MARIETTA, GA 30060
(770) 422-8913
Mailing address
7421 DOUGLAS BLVD STE N443, DOUGLASVILLE, GA 30135-1564
(678) 523-9046
(802) 277-7326

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN228964
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003195902A
GA
Enumeration date
08/22/2017
Last updated
10/26/2021
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