Provider Demographics
NPI:1396212338
Name:BYRD, WILLIAM LENWOOD
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:LENWOOD
Last Name:BYRD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-2856
Mailing Address - Country:US
Mailing Address - Phone:804-332-1400
Mailing Address - Fax:
Practice Address - Street 1:811 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-2856
Practice Address - Country:US
Practice Address - Phone:804-332-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi