Organization
MICHAEL EDWARD BOYKIN, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD BOYKIN M.D. (PRESIDENT)
(318) 966-6530
Entity
Organization
Contact information
Practice address
2110 JUSTICE ST, MONROE, LA 71201-3618
(318) 322-8811
(318) 966-6531
Mailing address
3418 MEDICAL PARK DR, SUITE 3, MONROE, LA 71203-2376
(318) 966-6530
(318) 966-6531
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
010982
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1148113
—
LA
Enumeration date
06/10/2008
Last updated
06/10/2008
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