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NPI Code Detail

MEDICARE: DR. JAMES EDWIN BOYD M.D.

MEDICARE:  DR. JAMES EDWIN BOYD  M.D.
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
12083A0100XAerospace Medicine Physician20099SC
22083X0100XOccupational Medicine Physician20099SC

General Provider Information

NPI Number : 1376503516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES EDWIN BOYD M.D.
Provider Business Mailing Address
First Line : 204 W HILL BLVD
Second Line :
City : CHARLESTON AFB
State : SC
Zip : 29404-4704
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 204 W HILL BLVD
Second Line :
City : CHARLESTON AFB
State : SC
Zip : 29404-4704
Country : US
Telephone Number : 843-963-6953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 09/11/2025

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Directions to “ DR. JAMES EDWIN BOYD M.D.” Practice Location

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