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Charles R. Byrd Md A Professional
Specialist in Shreveport, Louisiana
NPI 1124042585

Charles R. Byrd Md A Professional is a Specialist based in Shreveport, LA. Charles R. Byrd Md A Professional practices in Shreveport, LA. The NPI Number for Charles R. Byrd Md A Professional is 1124042585 and holds a License No. (Louisiana).

The current practice location address for Charles R. Byrd Md A Professional is 2751 Albert L Bicknell Dr, Shreveport, LA and can be reached out via phone at 318-221-4755 and via fax at 318-424-3642.

Location: 2751 Albert L Bicknell Dr, Shreveport, LA, 71103-3920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124042585
Provider Name
Charles R. Byrd Md A Professional
Credential
Provider Entity Type
Organization
Address
2751 Albert L Bicknell Dr, Shreveport, LA, 71103-3920
Phone Number
318-221-4755
Fax Number
318-424-3642
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1449768 05 LA
institution
Provider Business Practice Location Address Details
Address
2751 Albert L Bicknell Dr
City
Shreveport
State
Louisiana
Zip
71103-3920
Phone Number
318-221-4755
Fax Number
318-424-3642
person
Provider Business Mailing Address Details
Address
2751 Albert L Bicknell Dr
City
Shreveport
State
Louisiana
Zip
71103-3920
Phone Number
318-221-4755
Fax Number
318-424-3642
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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