Individual
DR. SUSAN H BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
2603 NINE MILE RD, STE 220, RICHMOND, VA 23223
(804) 893-8627
Mailing address
PO BOX 639970, CINCINNATI, OH 45263-9970
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101258877
VA
207Q00000X
Family Medicine Physician
041734
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041734
STATE LICENSE
GA
01
—
D0079924
STATE LICENSE
MD
Enumeration date
07/28/2006
Last updated
12/12/2024
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