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Individual

DR. DEBBIE L BYRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
252 TONY TRL SE, MABLETON, GA 30126-3655
(678) 662-9406
(770) 944-9061
Mailing address
1400 VETERANS MEMORIAL HWY SE, SUITE 134 #139, MABLETON, GA 30126-2945
(678) 662-9406
(770) 944-9061

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000721
GA
213EP1101X
Primary Podiatric Medicine Podiatrist
POD000721
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000630374F
GA
05
00630374D
GA
Enumeration date
09/27/2006
Last updated
09/26/2011
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