Boyd, Michael

Boyd, Michael is an sole proprietor health care provider with primary practice located at 1800 Hog Mountain Rd Bldg 100, Ste 103, Watkinsville GA 30677. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Boyd, Michael can be contacted via phone (770) 910-2278.

Contact Information

Primary practice address
1800 Hog Mountain Rd Bldg 100, Ste 103 Watkinsville GA 30677
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003638 Georgia

Profile Details

NPI number 1659315612
LBN Legal business name Boyd, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2006
Last updated Apr 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659315612 NPPES
Georgia MEDICAID 000457597B

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