Individual
MICHAEL BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
443 WADE HAMPTON DR, CHARLESTON, SC 29412-9147
(843) 302-9229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL86310
SC
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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