National Provider Identifier Database

MARK BYRON MD PC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

MARK BYRON MD PC
162 MEMORIAL DR
JESUP, GA31545-0101
Phone: 912-427-8033
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for MARK BYRON MD PC

NPI Number 1063607828
Legal business name
LBN
MARK BYRON MD PC
Authorized official MARK BYRON - (MD OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 09/13/2007
Last updated 01/26/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 047579
  • GA Medicaid: 00833599B
  • GA Other: GRP 4653 MEDICARE GROUP NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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