Individual
CARL RICHARD BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4750 WATERS AVE, SUITE 103, SAVANNAH, GA 31404-6200
(912) 350-8712
(912) 350-8753
Mailing address
4750 WATERS AVE, SUITE 103, SAVANNAH, GA 31404-6200
(912) 350-8712
(912) 350-8753
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
018609
GA
208600000X
Surgery Physician
22149
SC
2086S0102X
Surgical Critical Care Physician
018609
GA
2086S0102X
Surgical Critical Care Physician
22149
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000219865E
—
GA
05
—
000219865F
—
GA
05
—
000219865I
—
GA
05
—
000219865J
—
GA
01
—
020047971
RAILROAD MEDICARE
GA
01
—
10063470
AMERIGROUP
GA
01
—
349722
WELLCARE
GA
05
—
384081
—
SC
Enumeration date
06/14/2006
Last updated
07/10/2009
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