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Individual

DR. KARISSA WRIGHT BOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2520 5TH ST N, COLUMBUS, MS 39705-2008
(662) 244-2966
(662) 244-2763
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5827

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
05-33816
KS
207RH0003X
Hematology & Oncology Physician
Primary
19216
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068002058
MEDICARE PTAN
KS
05
200613170A
KS
Enumeration date
09/17/2006
Last updated
03/12/2019
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