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Individual

DR. RICKY RAY BYRD

Active
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Individual

DR. RICKY RAY BYRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
068706
GA
207R00000X
Internal Medicine Physician
MD30439
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3842282
TN
Enumeration date
12/11/2006
Last updated
07/16/2013
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