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NPI Code Detail

MEDICARE: TERRI L BOYD PA-C

MEDICARE:   TERRI L BOYD  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
1363AM0700XMedical Physician AssistantPA291KY

General Provider Information

NPI Number : 1346293545
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI L BOYD PA-C
Provider Business Mailing Address
First Line : 1201 SAINT CHRISTOPHER DR
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7064
Country : US
Telephone Number : 606-836-7000
Fax Number : 606-836-3157
Provider Business Practice Location Address
First Line : 1201 SAINT CHRISTOPHER DR
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7064
Country : US
Telephone Number : 606-836-7000
Fax Number : 606-836-3157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 07/09/2007

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Directions to “ TERRI L BOYD PA-C” Practice Location

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