Individual
MICHAEL SU BOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8231
(423) 869-3611
Mailing address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8231
(423) 869-3611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0114746
OK
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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