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NPI Code Detail

MEDICARE: DR. BRANDON MARK BOYCE MD

MEDICARE:  DR. BRANDON MARK BOYCE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist67392GA

Other Identifiers

General Provider Information

NPI Number : 1235238239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON MARK BOYCE MD
Provider Business Mailing Address
First Line : 612 W GORDON ST
Second Line : SUITE E
City : THOMASTON
State : GA
Zip : 30286-3480
Country : US
Telephone Number : 706-647-3030
Fax Number : 706-647-3033
Provider Business Practice Location Address
First Line : 3240 N E EXPY NE STE E
Second Line :
City : ATLANTA
State : GA
Zip : 30341-4003
Country : US
Telephone Number : 404-480-9330
Fax Number : 404-480-4233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2006
Last Update Date : 02/18/2026

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Directions to “ DR. BRANDON MARK BOYCE MD” Practice Location

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