Provider Demographics
NPI:1225798572
Name:BYRD, BARBARA ANN
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:BYRD
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:EUBANKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1415 HIGHWAY 85 N STE 310-323
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-7738
Mailing Address - Country:US
Mailing Address - Phone:770-733-0525
Mailing Address - Fax:
Practice Address - Street 1:1091 CAMBRIDGE SQ STE D
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1896
Practice Address - Country:US
Practice Address - Phone:770-733-0525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA