Provider Demographics
NPI:1659308112
Name:BYRD, RYLAND PRATT (MD)
Entity Type:Individual
Prefix:DR
First Name:RYLAND
Middle Name:PRATT
Last Name:BYRD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:444 BILL JONES RD
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659-6526
Mailing Address - Country:US
Mailing Address - Phone:423-926-1171
Mailing Address - Fax:423-979-3471
Practice Address - Street 1:JAMES H. QUILLEN VAMC 111-B
Practice Address - Street 2:CORNER OF SIDNEY AND LAMONT ST.
Practice Address - City:MOUNTAIN HOME
Practice Address - State:TN
Practice Address - Zip Code:37684-4000
Practice Address - Country:US
Practice Address - Phone:423-926-1171
Practice Address - Fax:423-979-3471
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2015-07-31
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Provider Licenses
StateLicense IDTaxonomies
KY24753207RC0200X
TN27677207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I296140Medicare PIN