Boyles, Sandra

Boyles, Sandra is an individual health care provider with primary practice located at 3685 Lawrenceville Hwy Suite 100, Lawrenceville GA 30044-4107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Boyles, Sandra can be contacted via phone (770) 921-7386.

Contact Information

Primary practice address
3685 Lawrenceville Hwy Suite 100 Lawrenceville GA 30044-4107
Phone: (770) 921-7386
Fax: (770) 381-6013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R091497 Georgia

Profile Details

NPI number 1518073147
LBN Legal business name Boyles, Sandra
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 9th, 2007 - about 19 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 1518073147 NPPES
Georgia MEDICAID 00828033B
Georgia MEDICAID 00828033A

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