Individual
GWENDOLYN L BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11728
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013257
BLUE CROSS
AL
05
—
000013257
—
AL
01
—
00111281
MISSISSIPPI MEDICAID
MS
05
—
009998985
—
AL
01
—
01003CC67472
SECTION 1011
AL
01
—
051511172
BLUE CROSS
AL
01
—
051511173
BLUE CROSS
AL
01
—
2319
HEALTHSPRING
AL
01
—
3387534
GEORGIA MEDICAID
GA
01
—
900847100
FLORIDA MEDICAID
FL
01
—
C67472
VIVA
AL
Enumeration date
05/27/2006
Last updated
05/27/2011
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