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Mark Byron Md Pc
Medical Specialty Clinic/Center in Jesup, Georgia
NPI 1063607828

Mark Byron Md Pc is a Medical Specialty Clinic/Center based in Jesup, GA and is specialized in Medical Specialty. Mark Byron Md Pc practices in Jesup, GA. The NPI Number for Mark Byron Md Pc is 1063607828 and holds a License No. 047579 (Georgia).

The current practice location address for Mark Byron Md Pc is 162 Memorial Dr, Jesup, GA and can be reached out via phone at 912-427-8033.

Location: 162 Memorial Dr, Jesup, GA, 31545-0101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063607828
Provider Name
Mark Byron Md Pc
Credential
Provider Entity Type
Organization
Address
162 Memorial Dr, Jesup, GA, 31545-0101
Phone Number
912-427-8033
Fax Number
Provider Enumeration Date
09/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRP 4653 01 GA MEDICARE GROUP NUMBER
00833599B 05 GA
institution
Provider Business Practice Location Address Details
Address
162 Memorial Dr
City
Jesup
State
Georgia
Zip
31545-0101
Phone Number
912-427-8033
Fax Number
person
Provider Business Mailing Address Details
Address
162 Memorial Dr
City
Jesup
State
Georgia
Zip
31545-0101
Phone Number
912-427-8033
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
047579 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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