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Contact Information

MARK BYRON MD PC
162 MEMORIAL DR
JESUP, GA31545-0101
 Phone: 912-427-8033
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for MARK BYRON MD PC

NPI # 1063607828
LBN Legal business name MARK BYRON MD PC
Authorized official MARK BYRON - (MD OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/13/2007
Last updated 01/26/2011 - About 15 years ago
Identifiers
GA License # 047579
GA Medicaid 00833599B
GA Other GRP 4653 MEDICARE GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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