William Hudson Byrnes, ATC
Individual provider Active NPI Athletic Trainer · Clinton, MS
NPI 1386093201 · NPPES record last updated Jun 14, 2016
Key facts
- NPI
- 1386093201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT0709 (MS)
- Practice address
- 200 South Capitol Street
Clinton, MS 39058 - Phone
- (601) 925-7641
- NPI assigned
- Jun 10, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT0709 | MS | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT0709 | MS | Yes |
Addresses
Primary practice location
200 South Capitol Street
Clinton, MS 39058
Mailing address
1208 Reserve Dr
Clinton, MS 39056-5655
Phone (601) 529-1582
Other providers in Clinton, MS
- Lashannon Sherica Butler
- Sheila Marie Butler
- Yvette Fortner Butler
- Emma Claire Byers
- Taylor M Byrd
- Chadwick Cabanero
- Cac Therapy Group, LLC
- Catherine E. Callender
- Tara Cameron
- William Michael Campbell
All providers in Clinton, MS · Athletic Trainer in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.