Tara Davis-Boyd
Nurse Practitioner - Psychiatric/Mental Health
5050 Highway 17 Byp S
Myrtle Beach
, South Carolina 29588-4500
Tara Davis-Boyd
Nurse Practitioner - Psychiatric/Mental Health
5050 Highway 17 Byp S
Myrtle Beach
, South Carolina 29588-4500
(210) 616-1282
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Tara Davis-Boyd
- 335 Lake Frances Dr
- West Columbia, SC
- Zip : 29170-3871
- Phone : (210) 616-1282
Second Address
- Tara Davis-Boyd
- 5050 Highway 17 Byp S
- Myrtle Beach, SC
- Zip : 29588-4500
- Phone : (843) 830-1000
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Is Tara Davis-Boyd a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 23509 | SC |
National Provider Identifier
| NPI | 1033749643 |
|---|---|
| Provider Name | Tara Davis-Boyd |
| First Address | West Columbia, SC 29170-3871 |
| Second Address | Myrtle Beach, SC 29588-4500 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2020 |
| Last Update Date | 22/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.