Individual
TANYA BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
129 TAYLOR LEN DR, LAGRANGE, GA 30240-8541
(706) 616-4904
Mailing address
1400 HOGANSVILLE RD, LAGRANGE, GA 30241-1422
(706) 812-2852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN204614
GA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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