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Individual

MICHAEL WILLIAM BOYD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
A.O.

Contact information

Practice address
1736 MAPLE AVE, BURLINGTON, NC 27215-6846
(336) 228-1403
(336) 228-1503
Mailing address
1736 MAPLE AVE, BURLINGTON, NC 27215-6846
(336) 228-1403
(336) 228-1503

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
27-3468101
NC
1744P3200X
Prosthetics Case Management
27-3468101
NC
225000000X
Orthotic Fitter

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023UX
BLUE CROSS BULE SHIELD
NC
05
7795511
NC
Enumeration date
04/24/2007
Last updated
07/18/2013
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