Individual
MONIQUE LEEKAM BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
698 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
(864) 962-8991
Mailing address
698 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27325
SC
363LF0000X
Family Nurse Practitioner
5012822
NC
363LF0000X
Family Nurse Practitioner
R234541
MD
363LF0000X
Family Nurse Practitioner
RN1036120
DC
Other
Enumeration date
07/25/2019
Last updated
03/06/2024
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