Mr. Jack P. Byrd
Otolaryngology/Facial Plastic Surgery
2414 Chambliss Ave N.w.
Cleveland
, Tennessee 37311
Mr. Jack P. Byrd
Otolaryngology/Facial Plastic Surgery
2414 Chambliss Ave N.w.
Cleveland
, Tennessee 37311
(423) 472-2425
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Mr. Jack P. Byrd
- 2414 Chambliss Ave N.w.
- Cleveland, TN
- Zip : 37311
- Fax : (423) 472-2425
- Phone : (423) 472-6581
Second Address
- Mr. Jack P. Byrd
- 2414 Chambliss Ave N.w.
- Cleveland, TN
- Zip : 37311
- Fax : (423) 472-2425
- Phone : (423) 472-6581
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD14726 | TN |
National Provider Identifier
| NPI | 1144330606 |
|---|---|
| Provider Name | Mr. Jack P. Byrd |
| First Address | Cleveland, TN 37311 |
| Second Address | Cleveland, TN 37311 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 20/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3004788 | (05) | TN |
| 96972 | (02) | |
| Q011340 | (05) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.