Provider Demographics
NPI:1386183960
Name:BYRD, ANN CAROL (MD)
Entity Type:Individual
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First Name:ANN
Middle Name:CAROL
Last Name:BYRD
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Gender:F
Credentials:MD
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Mailing Address - Street 1:301 CONCOURSE BLVD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5643
Mailing Address - Country:US
Mailing Address - Phone:804-549-4030
Mailing Address - Fax:804-549-4032
Practice Address - Street 1:201 CONCOURSE BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-5640
Practice Address - Country:US
Practice Address - Phone:804-549-4025
Practice Address - Fax:804-549-4032
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
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Provider Licenses
StateLicense IDTaxonomies
VA0101036110208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics