MEDICARE: AMAHRI BOYKIN

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	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1275304735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMAHRI BOYKIN

Provider Business Mailing Address
First Line	:	32 RABBIT EARS PT APT 1023
Second Line	:
City	:	CULLOWHEE
State	:	NC
Zip	:	28723-5893
Country	:	US
Telephone Number	:	803-543-3609
Fax Number	:

Provider Business Practice Location Address
First Line	:	3971 LITTLE SAVANNAH ROAD
Second Line	:
City	:	CULLOWHEE
State	:	NC
Zip	:	28723-2872
Country	:	US
Telephone Number	:	803-543-3609
Fax Number	:

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

Provider Enumeration Date	:	01/12/2024
Last Update Date	:	01/12/2024

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Directions to “ AMAHRI BOYKIN ” Practice Location

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