Provider Demographics
NPI:1497854970
Name:BYRD, MINNEE SWICEGOOD (RT(R)(ARRT))
Entity Type:Individual
Prefix:MRS
First Name:MINNEE
Middle Name:SWICEGOOD
Last Name:BYRD
Suffix:
Gender:F
Credentials:RT(R)(ARRT)
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Mailing Address - Street 1:273 HOLLIS DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-7035
Mailing Address - Country:US
Mailing Address - Phone:336-731-7557
Mailing Address - Fax:
Practice Address - Street 1:190 KIMEL PARK DRIVE
Practice Address - Street 2:VA OUTPATIENT CLINIC
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6946
Practice Address - Country:US
Practice Address - Phone:336-768-3296
Practice Address - Fax:336-760-5481
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC3109162471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography