Provider Demographics
NPI:1073240479
Name:BOYD, VEFLISA H (OWNER/OPERATOR)
Entity Type:Individual
Prefix:MS
First Name:VEFLISA
Middle Name:H
Last Name:BOYD
Suffix:
Gender:F
Credentials:OWNER/OPERATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WELDON
Mailing Address - State:NC
Mailing Address - Zip Code:27890-1550
Mailing Address - Country:US
Mailing Address - Phone:252-678-2378
Mailing Address - Fax:252-678-8333
Practice Address - Street 1:304 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:WELDON
Practice Address - State:NC
Practice Address - Zip Code:27890-1550
Practice Address - Country:US
Practice Address - Phone:252-678-2378
Practice Address - Fax:252-678-8333
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)