Individual
SETH BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-3871
Mailing address
414 WILSON LN, MCMINNVILLE, TN 37110-2457
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
90001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90001
LPN
TN
Enumeration date
04/10/2019
Last updated
04/10/2019
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