Individual
DR. DWIGHT D BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
546 LAKELAND PLZ, CUMMING, GA 30040-2782
(678) 208-2393
(678) 208-0851
Mailing address
546 LAKELAND PLZ, CUMMING, GA 30040-2782
(678) 208-2393
(678) 208-0851
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1232
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143234C
—
GA
01
—
205684219
TAXPAYER IDENTIFICATION
GA
Enumeration date
03/22/2007
Last updated
12/18/2019
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