Randall James Boyd, D.C.
Individual provider Active NPI Chiropractor · Holly Springs, GA
NPI 1376677641 · NPPES record last updated Oct 29, 2007
Key facts
- NPI
- 1376677641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CHIRO007076 (GA)
- Practice address
- 3005 Holly Springs Pkwy
Suite 103
Holly Springs, GA 30115-7400 - Phone
- (770) 704-6332
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO007076 | GA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO007076 | GA | Yes |
Addresses
Primary practice location
3005 Holly Springs Pkwy
Suite 103
Holly Springs, GA 30115-7400
Mailing address
730 Dena Dr
Canton, GA 30114-7155
Phone (770) 704-6332
Other providers in Holly Springs, GA
- Matthew Kyle Austin
- Holly Megan Barker
- Ashley Michelle Bell
- Mary Blalock
- Body Expressions the Aesthetic Edge
- Karen Buhariwalla
- Daniel Cadavid Duque
- Courtney Brynne Campbell
- Daquesha Capre Chever
- Sydney Anabel Colon
All providers in Holly Springs, GA · Chiropractor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.