Individual
BRIDGETTE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA
Contact information
Practice address
106 EATON FERRY RD, MACON, NC 27551-9099
(919) 527-4042
Mailing address
106 EATON FERRY RD, MACON, NC 27551-9099
(919) 527-4042
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
HC5031
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PRIVATE PAY
PRIVATE PAY CLIENTS
NC
Enumeration date
03/13/2017
Last updated
01/02/2020
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