| NPI | 1871098350 |
|---|---|
| Doing Business As | LEA ANN BYRD |
| Entity Type | Organization |
| Authorized Contact | LEA ANN BYRD Owner 662-627-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MS R823849) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-05-17 |