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Individual

DR. DERAYNE BOYKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2160
(901) 682-9443
Mailing address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2160
(901) 682-9443

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23923
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3070358
TN
Enumeration date
04/24/2006
Last updated
07/25/2014
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