Individual
BILLY BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5275 MENDENHALL PARK PL, MEMPHIS, TN 38115-5906
(901) 617-6248
Mailing address
5275 MENDENHALL PARK PL, MEMPHIS, TN 38115-5906
(901) 617-6248
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
372500000X
Chore Provider
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q041329
—
TN
Enumeration date
02/02/2021
Last updated
02/02/2021
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