Diane Boyce, MS, ATC, SCAT

Individual provider Active NPI Athletic Trainer · Spartanburg, SC

NPI 1871008490 · NPPES record last updated May 25, 2022

Key facts

NPI
1871008490
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT03180 (SC)
Practice address
101 E Wood St
Spartanburg, SC 29303-3040
Phone
(706) 599-6555
NPI assigned
Dec 5, 2017
Sex
Female
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
Master of Science

State licenses

LicenseStateTypeSpecialty
RTO000366PAMDSports Medicine (Preventive Medicine) Physician
AT03180SCMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Preventive Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2083S0010X RTO000366 PA
Athletic Trainer 2255A2300X AT03180 SC Yes

Addresses

Primary practice location

101 E Wood St
Spartanburg, SC 29303-3040

Mailing address

Bucknell University
Moore Avenue
Lewisburg, PA 17837

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address dboyce@srhs.com Direct

Other providers in Spartanburg, SC

All providers in Spartanburg, SC · Athletic Trainer in South Carolina

Sources for this page

Verify at the official NPI Registry.