Whalio Doctors

NPI 1417380718

Thomas Edward Byrne, MD

Practitioner General Practice Physician Fairfax, SC

Practice location

Address
1057 Revolutionary Trl, Fairfax, SC 29827-7127
Phone
(803) 632-2561
Fax
(803) 632-1867

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 19689 (SC)

Registry record

NPI
1417380718
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Aug 2013
Record last updated
10 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.