| NPI | 1679583801 |
|---|---|
| Former Legal Business Name | BYRDSTOWN MEDICAL CENTER, PLLC |
| Doing Business As | BYRDSTOWN MEDICAL |
| Former Legal Business Name | MASON FARMS BYRDSTOWN MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DEEDEE JOHNSON Credentialing / Systems Admin 931-864-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-02-11 |