Provider Demographics
NPI:1689684516
Name:EDWARDS, BYARD F (MD)
Entity Type:Individual
Prefix:
First Name:BYARD
Middle Name:F
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 49442
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30359-1442
Mailing Address - Country:US
Mailing Address - Phone:404-401-7311
Mailing Address - Fax:888-611-8830
Practice Address - Street 1:5669 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE 240
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1786
Practice Address - Country:US
Practice Address - Phone:404-401-7311
Practice Address - Fax:888-611-8830
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2009-06-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA036961207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF66071Medicare UPIN