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Individual

HENRY LEBOYD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
(229) 353-6060
Mailing address
907 18TH ST E STE 150, TIFTON, GA 31794-3690
(229) 353-3450
(229) 353-6060

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
078692
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/13/2014
Last updated
07/21/2022
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