Organization
BYRD FAMILY MEDICAL CLINIC
Active
Other names
Lea Ann Byrd
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEA ANN BYRD FNP (OWNER)
(662) 627-2973
Entity
Organization
Contact information
Practice address
705 N STATE ST, CLARKSDALE, MS 38614
(662) 627-2973
(662) 624-5595
Mailing address
764 WALNUT KNOLL LN, CORDOVA, TN 38018-3113
(901) 620-6397
(901) 756-5564
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R823849
MS
Other
Enumeration date
03/27/2018
Last updated
05/17/2018
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