MEDICARE: ERIN B BOYCE PA-C

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
1	363AS0400X	Surgical Physician Assistant	C0004889	MD

General Provider Information

NPI Number	:	1093052870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN B BOYCE PA-C

Provider Business Mailing Address
First Line	:	PO BOX 749306
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9306
Country	:	US
Telephone Number	:	843-626-9379
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 21ST AVE N
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-7402
Country	:	US
Telephone Number	:	843-626-9379
Fax Number	:	843-448-0707

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2013
Last Update Date	:	09/11/2025

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