Individual
WESLEY BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7900 AIRWAYS BLVD STE 101, SOUTHAVEN, MS 38671-4113
(662) 349-6950
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3054
TN
363A00000X
Physician Assistant
Primary
PA00294
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q025723
—
TN
Enumeration date
07/19/2016
Last updated
02/10/2026
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