Boyd, Mary S

Boyd, Mary S is an sole proprietor health care provider with primary practice located at 3227 Sunset Blvd Ste D103 , West Columbia SC 29169-3201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Boyd, Mary S can be contacted via phone (803) 791-1485.

Contact Information

Primary practice address
3227 Sunset Blvd Ste D103 West Columbia SC 29169-3201
Fax: (803) 939-9378
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 23274 South Carolina

Profile Details

NPI number 1497744890
LBN Legal business name Boyd, Mary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2005
Last updated Jan 11th, 2017 - about 7 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 1497744890 NPPES
South Carolina MEDICAID GP4255

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