Individual
DR. RICKY RAY BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2011 WESTEND DR, GREENSBORO, GA 30642-5146
(706) 453-9803
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
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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