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DORIS LAVONNE BOYD
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1891875811
Individual Registrant: DORIS LAVONNE BOYD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
6420 POLLARDS POND RD APPLING, GA 30802-3726 US
Tel: 706-541-1318 Fax: --
Tel: 706-541-1318 Fax: --
Contact information for business:
1252 KLONDIKE DR GROVETOWN, GA 30813-3505 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1891875811
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | GA | 017697 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
