# GWENDOLYN L BOYD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1962459800
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 11728 | AL | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 05/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000013257 | BLUE CROSS | AL |
| 05 | — | 000013257 | — | AL |
| 01 | — | 00111281 | MISSISSIPPI MEDICAID | MS |
| 05 | — | 009998985 | — | AL |
| 01 | — | 01003CC67472 | SECTION 1011 | AL |
| 01 | — | 051511172 | BLUE CROSS | AL |
| 01 | — | 051511173 | BLUE CROSS | AL |
| 01 | — | 2319 | HEALTHSPRING | AL |
| 01 | — | 3387534 | GEORGIA MEDICAID | GA |
| 01 | — | 900847100 | FLORIDA MEDICAID | FL |
| 01 | — | C67472 | VIVA | AL |
