Provider Demographics
NPI:1225035454
Name:BYRD, JAMES C (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:BYRD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 751069
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:252-744-3520
Mailing Address - Fax:252-744-3194
Practice Address - Street 1:521 B. MOYE BLVD. 2ND FLOOR
Practice Address - Street 2:ECU PHYSICIANS INTERNAL MEDICINE MOYE MEDICAL CENTER #1
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2849
Practice Address - Country:US
Practice Address - Phone:252-744-3229
Practice Address - Fax:252-744-3924
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2011-11-19
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Provider Licenses
StateLicense IDTaxonomies
NC9501192207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC110142086OtherRAILROAD MEDICARE
NC20596OtherBCBS NC
NC8920596Medicaid
NC8920596Medicaid
NCB51901Medicare UPIN
NC2216959CMedicare PIN