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Individual

CHARLES JUSTIN BOYD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
752 HIGHWAY 27 N, TYLERTOWN, MS 39667-7904
(601) 303-8364
Mailing address
752 HIGHWAY 27 N, TYLERTOWN, MS 39667-7904
(601) 303-8364

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2752
MS

Other

Enumeration date
04/09/2012
Last updated
04/09/2012
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