Active NPI
Glenn H Boyd MD PC
- Internal Medicine Physician
- Dalton, GA
National Provider Identifier
1578833422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17510
- Legal business name
- GLENN H BOYD MD PC
- Practice address
- 1203 Memorial Drive
Dalton, GA 30720-2530 - Phone
- (706) 278-0022
- Fax
- (706) 278-6360
- NPI assigned
- Jan 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn H Boyd, M.D.
- Title
- Physician
- Phone
- (706) 278-0022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17510 | GA | Primary |
Addresses
Primary practice location
1203 Memorial Drive
Dalton, GA 30720-2530
Mailing address
1203 Memorial Dr
Dalton, GA 30720-2571
Phone (706) 278-0022
National Provider Directory
National Provider DirectoryLocations
1203 Memorial Dr
Dalton, GA 30720
Phone (706) 278-0022
1115 Professional Blvd
Dalton, GA 30720
Phone (706) 226-1285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326326400000",
"number": "1578833422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 MEMORIAL DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202571",
"telephone_number": "706-278-0022",
"fax_number": "706-278-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 MEMORIAL DRIVE",
"city": "DALTON",
"state": "GA",
"postal_code": "307202530",
"telephone_number": "706-278-0022",
"fax_number": "706-278-6360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENN H BOYD MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-12",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "706-278-0022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "17510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.