Individual
MR. MICHAEL BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1800 HOG MOUNTAIN RD, BLDG 100, STE 103, WATKINSVILLE, GA 30677
(770) 910-2278
Mailing address
1800 HOG MOUNTAIN RD, BLDG 100, STE 103, WATKINSVILLE, GA 30677-7289
(770) 910-2278
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003638
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000457597B
—
GA
Enumeration date
06/16/2006
Last updated
04/09/2024
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