Individual
DR. JONATHAN BRADFORD BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD FL 6, GREENVILLE, SC 29605-4210
(864) 455-7146
(864) 455-5380
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
59156
TN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
88103
SC
208M00000X
Hospitalist Physician
59156
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
04/19/2016
Last updated
08/16/2022
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