Search › Georgia › 374U00000X
Theron Boykin
NPI 1427807197 · on the registry since 2024
Practice
- Address
- 1772 Kanawha Trl
Stone Mountain, GA 30087 - Phone
- (404) 668-4847
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia