Provider Demographics
NPI:1457309643
Name:BYRD, SHERI C (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:C
Last Name:BYRD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7280C REIDVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WOODRUFF
Mailing Address - State:SC
Mailing Address - Zip Code:29388-1618
Mailing Address - Country:US
Mailing Address - Phone:864-486-0760
Mailing Address - Fax:864-486-0761
Practice Address - Street 1:7280C REIDVILLE RD
Practice Address - Street 2:
Practice Address - City:WOODRUFF
Practice Address - State:SC
Practice Address - Zip Code:29388
Practice Address - Country:US
Practice Address - Phone:864-486-0760
Practice Address - Fax:864-486-0761
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16613208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCG77416Medicare UPIN
SCGP2346Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER