Individual
JOHN BLAKE BOYETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
22454 HWY 72 W, SUITE 200, ATHENS, AL 35613
(256) 233-2332
(256) 539-2666
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 539-2666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DO.1657
AL
207X00000X
Orthopaedic Surgery Physician
Primary
DO1657
AL
207XS0117X
Orthopaedic Surgery of the Spine Physician
DO1657
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216627
—
AL
01
—
512-09153
BCBS
AL
Enumeration date
09/12/2011
Last updated
05/07/2024
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