Ronald Jack Boyd, MD

Individual provider Active NPI Family Medicine Physician · Milledgeville, GA

NPI 1487863387 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1487863387
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
9438 (GA)
Practice address
351 Horace Veal Rd NW
Milledgeville, GA 31061-8139
Phone
(478) 452-2628
NPI assigned
May 21, 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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9438GAMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9438 GA Yes

Addresses

Primary practice location

351 Horace Veal Rd NW
Milledgeville, GA 31061-8139

Mailing address

351 Horace Veal Rd NW
Milledgeville, GA 31061-8139
Phone (478) 452-2628

Other providers in Milledgeville, GA

All providers in Milledgeville, GA · Family Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.