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NPI Code Detail

MEDICARE: DR. GARY L BOYD M.D.

MEDICARE: DR. GARY L 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
1207R00000XInternal Medicine Physician14222AL

General Provider Information

NPI Number : 1518952944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY L BOYD M.D.
Provider Business Mailing Address
First Line : 2022 BROOKWOOD MEDICAL CTR DR
Second Line : SUITE 414
City : BIRMINGHAM
State : AL
Zip : 35209-6808
Country : US
Telephone Number : 205-877-2884
Fax Number : 205-877-2794
Provider Business Practice Location Address
First Line : 2022 BROOKWOOD MEDICAL CTR DR
Second Line : SUITE 414
City : BIRMINGHAM
State : AL
Zip : 35209-6808
Country : US
Telephone Number : 205-877-2884
Fax Number : 205-877-2794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 05/15/2015

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