Provider Demographics
NPI:1386645240
Name:BOYS, JOHN CARLTON (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CARLTON
Last Name:BOYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MRS
Other - First Name:PAULA
Other - Middle Name:DIANE
Other - Last Name:FIELDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:DEPT 888066
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37995-0001
Mailing Address - Country:US
Mailing Address - Phone:770-693-2622
Mailing Address - Fax:770-693-5821
Practice Address - Street 1:1420 TUSCULUM BLVD
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4279
Practice Address - Country:US
Practice Address - Phone:423-787-5041
Practice Address - Fax:423-787-5046
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-02
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD00000244062085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3076431Medicaid
TN3075438Medicare ID - Type Unspecified
TN3076431Medicaid