Individual
KRISTINE DEE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
853 N CHURCH ST STE 700, SPARTANBURG, SC 29303
(864) 560-6164
(864) 560-7092
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2022-02235
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
21859
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022-02235
NC MED LIC
NC
01
—
57-6007863031
BCBS OF SC
SC
01
—
7212119
AETNA
SC
01
—
P00247045
RR MEDICARE
SC
01
—
SCA7353365
MEDICARE PIN
SC
05
—
T60092
—
SC
Enumeration date
06/09/2006
Last updated
02/20/2024
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