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NPI Code Detail

MEDICARE: ADONIUS BOYD

MEDICARE:   ADONIUS  BOYD
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1861272015
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADONIUS BOYD
Provider Business Mailing Address
First Line : 5627 APPLEWOOD DR
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72118-3661
Country : US
Telephone Number : 501-516-6748
Fax Number :
Provider Business Practice Location Address
First Line : 5627 APPLEWOOD DR
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72118-3661
Country : US
Telephone Number : 501-516-6748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2023
Last Update Date : 10/04/2023

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Directions to “ ADONIUS BOYD ” Practice Location

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