Healthcare Provider Details

I. General information

NPI: 1518911734
Provider Name (Legal Business Name): JAMES F BOYD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 03/10/2022
Certification Date: 03/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503B N ROAD ST
ELIZABETH CITY NC
27909-3243
US

IV. Provider business mailing address

6350 CENTER DR STE 200
NORFOLK VA
23502-4107
US

V. Phone/Fax

Practice location:
  • Phone: 252-331-2204
  • Fax: 523-311-9092
Mailing address:
  • Phone: 757-213-5700
  • Fax: 757-213-5762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number0101274173
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number29078
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: