Boyd, Bethany C

Boyd, Bethany C is an individual health care provider with primary practice located at 885 Tiger Blvd , Clemson SC 29631-1480. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boyd, Bethany C can be contacted via phone (864) 512-5890.

Contact Information

Primary practice address
885 Tiger Blvd Clemson SC 29631-1480
Phone: (864) 512-5890
Fax: (864) 512-4711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19513 South Carolina

Profile Details

NPI number 1467832154
LBN Legal business name Boyd, Bethany C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2015
Last updated Nov 23rd, 2022 - about 3 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 1467832154 NPPES
South Carolina Other 19513 MEDICAL LICENSE
South Carolina MEDICAID NP3418 MEDICAL LICENSE

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