Healthcare Provider Details

I. General information

NPI: 1386645240
Provider Name (Legal Business Name): JOHN CARLTON BOYS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MRS. PAULA DIANE FIELDER

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 TUSCULUM BLVD
GREENEVILLE TN
37745-4279
US

IV. Provider business mailing address

DEPT 888066
KNOXVILLE TN
37995-0001
US

V. Phone/Fax

Practice location:
  • Phone: 423-787-5041
  • Fax: 423-787-5046
Mailing address:
  • Phone: 770-693-2622
  • Fax: 770-693-5821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD0000024406
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: