Provider Demographics
NPI:1396933065
Name:BYRAM, MARGARET LILLIAN (PA-C)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LILLIAN
Last Name:BYRAM
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13094 NC HWY 50
Mailing Address - Street 2:
Mailing Address - City:SURF CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28445
Mailing Address - Country:US
Mailing Address - Phone:910-222-7555
Mailing Address - Fax:833-438-1757
Practice Address - Street 1:13094 NC HWY 50
Practice Address - Street 2:
Practice Address - City:SURF CITY
Practice Address - State:NC
Practice Address - Zip Code:28445
Practice Address - Country:US
Practice Address - Phone:910-222-7555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0003633363A00000X
NC0010-08009363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT0003633OtherMARYLAND LICENSE
MD258756ZDDBMedicare PIN
MD945LMedicare PIN
MDT0003633OtherMARYLAND LICENSE
MD149619Medicare PIN