Individual
DR. THOMAS F BYARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 PROFESSIONAL DR STE 550, LAWRENCEVILLE, GA 30046-3356
(855) 647-7678
(404) 847-4488
Mailing address
575 PROFESSIONAL DR STE 550, LAWRENCEVILLE, GA 30046-3356
(855) 647-7678
(404) 847-4488
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
MD39135
TN
207X00000X
Orthopaedic Surgery Physician
MD39135
TN
208000000X
Pediatrics Physician
MD39135
TN
2080S0010X
Pediatric Sports Medicine Physician
Primary
59689
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000612598F
—
GA
01
—
62-0476822
TAX ID
—
Enumeration date
07/10/2006
Last updated
03/20/2023
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