Individual
DR. ROGER T BOYINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
508 E THREE NOTCH ST, ANDALUSIA, AL 36420-3128
(334) 427-2273
(334) 222-2583
Mailing address
PO BOX 310, ANDALUSIA, AL 36420-1205
(334) 427-2273
(334) 222-2583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO439
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000078763
MEDICARE
AL
01
—
51078763
BLUE CROSS BLUE SHIELD AL
AL
05
—
529901030
—
AL
Enumeration date
10/04/2006
Last updated
09/16/2011
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