Individual
TARA DAVIS-BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5050 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588-4500
(843) 830-1000
Mailing address
335 LAKE FRANCES DR, WEST COLUMBIA, SC 29170-3871
(210) 616-1282
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23509
SC
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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