Provider Demographics
NPI:1730796772
Name:BOYD, ABBIGAIL J (MS)
Entity type:Individual
Prefix:
First Name:ABBIGAIL
Middle Name:J
Last Name:BOYD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ABBIGAIL
Other - Middle Name:J
Other - Last Name:STANDARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:538 HUNTERDALE RD
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-3630
Mailing Address - Country:US
Mailing Address - Phone:706-361-8512
Mailing Address - Fax:
Practice Address - Street 1:538 HUNTERDALE RD
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3630
Practice Address - Country:US
Practice Address - Phone:706-361-8512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator