Organization
BYRD FAMILY MEDICAL CLINIC
Active
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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