Boyles, Sandra
Boyles, Sandra is an individual health care provider with primary practice located at 3685 Lawrenceville Hwy Suite 100, Lawrenceville GA 30044-4107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Boyles, Sandra can be contacted via phone (770) 921-7386.Contact Information
Primary practice address
3685 Lawrenceville Hwy Suite 100
Lawrenceville GA 30044-4107
Phone: (770) 921-7386
Fax: (770) 381-6013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R091497 | Georgia |
Profile Details
| NPI number | 1518073147 |
|---|---|
| LBN Legal business name | Boyles, Sandra |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1518073147 | NPPES |
| Georgia | MEDICAID | 00828033B | |
| Georgia | MEDICAID | 00828033A |
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