NPI Profile for GREGARY BYERS in BOLIVAR, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1144636119 |
|
| Status | Active | |
| Credentials | NP-C (Nurse Practitioner - Certified) | |
| Entity | Individual | |
| Enumeration date | 07/10/2014 | |
| Last updated | 02/18/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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GREGARY BYERS
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