Individual
MRS. BETHANY C BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
885 TIGER BLVD, CLEMSON, SC 29631-1480
(864) 512-5890
(864) 512-4711
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-5890
(864) 512-4711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19513
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19513
MEDICAL LICENSE
SC
05
—
NP3418
—
SC
Enumeration date
06/08/2015
Last updated
11/23/2022
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