Individual
DR. BRUCE K. BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
211 ALCORN DR, CORINTH, MS 38834-8400
(662) 286-2700
Mailing address
211 ALCORN DR, CORINTH, MS 38834-8400
(662) 286-2700
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
80100
MS
213EP1101X
Primary Podiatric Medicine Podiatrist
DPM0000000341
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110447
—
MS
01
—
2005806
BCBS OF TN
TN
01
—
7917
TLC
—
01
—
UNITED HEALTHCARE
2700155
TN
Enumeration date
11/10/2006
Last updated
07/23/2013
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