Boyce, Brandon Mark

Boyce, Brandon Mark is an individual health care provider with primary practice located at 612 W Gordon St Suite E, Thomaston GA 30286-3480. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Boyce, Brandon Mark can be contacted via phone (706) 647-3030.

Contact Information

Primary practice address
612 W Gordon St Suite E Thomaston GA 30286-3480
Phone: (706) 647-3030
Fax: (706) 647-3033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 50370 Colorado

Profile Details

NPI number 1235238239
LBN Legal business name Boyce, Brandon Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jun 19th, 2013 - about 13 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 1235238239 NPPES
Georgia MEDICAID 003121667A
Georgia MEDICAID 003121667B

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