# WILLIE L BOYD MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861678054
- **Authorized official:** DR. WILLIE L BOYD MD (PHYSICIAN)
- **Authorized official phone:** (803) 771-6277

## Contact information

- **Practice address:** 2719 MIDDLEBURG DR STE 203, COLUMBIA, SC 29204-2414
- **Practice address phone:** (803) 771-6277
- **Practice address fax:** (803) 771-6278
- **Mailing address:** 2719 MIDDLEBURG DR STE 203, COLUMBIA, SC 29204-2414
- **Mailing address phone:** (803) 771-6277
- **Mailing address fax:** (803) 771-6278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | SC | Yes |

## Other

- **Enumeration date:** 01/17/2008
- **Last updated:** 12/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009198 | — | SC |