Individual
PHILLIP BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAS
Contact information
Practice address
6578 HAWKINSVILLE RD, SUITE 112, MACON, GA 31216-6836
(478) 238-9805
(478) 225-2197
Mailing address
6578 HAWKINSVILLE RD, SUITE 112, MACON, GA 31216-6836
(478) 238-9805
(478) 225-2197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-4517
GA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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