Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 2014-00471 | NC |
NPI | 1114245446 |
---|---|
Provider Name | Bari Eberhardt Byrd |
First Address | Raleigh, NC 27609 |
Second Address | Raleigh, NC 27609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2010 |
Last Update Date | 01/02/2022 |