Individual
DEBORAH DAETWYLER BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 GLENDALE DR W, WILSON, NC 27893-2770
(252) 399-7557
(252) 399-1324
Mailing address
PO BOX 3527, WILSON, NC 27895-3527
(252) 399-7557
(252) 399-1324
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7720
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8917244
—
NC
Enumeration date
07/14/2006
Last updated
01/04/2011
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