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NPI Code Detail

MEDICARE: BOYETT HEALTH SERVICES, INC.

MEDICARE: BOYETT HEALTH SERVICES, INC.
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
11223G0001XGeneral Practice Dentistry4622AL
2207Q00000XFamily Medicine PhysicianDO654AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11114053121OTHERALNPI NUMBER
21366480774OTHERALNPI
31306938360OTHERALNPI

General Provider Information

NPI Number : 1114053121
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOYETT HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 2131 MILITARY ST S
Second Line :
City : HAMILTON
State : AL
Zip : 35570-6651
Country : US
Telephone Number : 205-921-5556
Fax Number : 205-921-5595
Provider Business Practice Location Address
First Line : 2131 MILITARY ST S
Second Line :
City : HAMILTON
State : AL
Zip : 35570-6651
Country : US
Telephone Number : 205-921-5556
Fax Number : 205-921-5595
Authorized Official
Title or Position : PHYSICIAN
Name : BRENT E BOYETT
Credential : DMD, DO
Telephone Number : 205-921-5556
Provider Enumeration Date : 02/26/2007
Last Update Date : 05/03/2016

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Directions to “BOYETT HEALTH SERVICES, INC. ” Practice Location

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