Boyd, Willie L
Boyd, Willie L is an sole proprietor health care provider with primary practice located at 2719 Middleburg Dr Suite 203, Columbia SC 29204-2414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Boyd, Willie L can be contacted via phone (803) 771-6277.Contact Information
Primary practice address
2719 Middleburg Dr Suite 203
Columbia SC 29204-2414
Phone: (803) 771-6277
Fax: (803) 771-6278
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 9198 | South Carolina |
| Other Service Providers / Specialist | 174400000X | 9198 | South Carolina |
Profile Details
| NPI number | 1770546574 |
|---|---|
| LBN Legal business name | Boyd, Willie L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Dec 19th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770546574 | NPPES |
| South Carolina | MEDICAID | 009198 |
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