Individual
SEAN O'BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11551 NUCKOLS RD STE F, GLEN ALLEN, VA 23059-5565
(804) 364-4400
Mailing address
49 JESSE HILL JR DR SE, ATLANTA, GA 30303-3049
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101268660
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101268660
VIRGINIA MEDICAL LICENSE
VA
Enumeration date
03/18/2017
Last updated
10/26/2021
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