Provider Demographics
NPI:1992769806
Name:BYRON, JOHN W (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:BYRON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:SOUTHERN PINES WOMENS HEALTH CENTER PC
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28388-0749
Mailing Address - Country:US
Mailing Address - Phone:910-692-7928
Mailing Address - Fax:910-692-5962
Practice Address - Street 1:145 APPLECROSS RD
Practice Address - Street 2:SOUTHERN PINES WOMENS HEALTH CENTER PC
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387
Practice Address - Country:US
Practice Address - Phone:910-692-7928
Practice Address - Fax:910-692-5962
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2010-02-25
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Provider Licenses
StateLicense IDTaxonomies
NC9600473207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
31122OtherMEDCOST
9663436OtherGHI
NC8920627Medicaid
SCN00477Medicaid
160030492OtherMEDICARE RAILROAD
FH1000035OtherFIRST CAROLINA CARE
20627OtherBLUE CROSS BLUE SHIELD
9663436OtherGHI
NC8920627Medicaid