Individual
MRS. TINA SALTER BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1001 HOLLAND AVENUE, PHILADELPHIA, MS 39350
(601) 656-1465
(601) 656-2752
Mailing address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 663-1269
(601) 663-1286
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R861295
MS
Other
Enumeration date
09/02/2006
Last updated
11/29/2018
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