Provider Demographics
NPI:1033172408
Name:BYRD, JAMES KING III (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:KING
Last Name:BYRD
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:420 LOWELL DR SE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3754
Mailing Address - Country:US
Mailing Address - Phone:256-535-5972
Mailing Address - Fax:256-535-5954
Practice Address - Street 1:420 LOWELL DR SE
Practice Address - Street 2:SUITE 300
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3754
Practice Address - Country:US
Practice Address - Phone:256-535-5972
Practice Address - Fax:256-535-5954
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-07
Last Update Date:2011-10-31
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Provider Licenses
StateLicense IDTaxonomies
AL00026682207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALI33843Medicare UPIN
AL051556270BYRMedicare ID - Type Unspecified