Provider Demographics
NPI:1578573887
Name:BOYD, REBECCA ANN (DO)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:BOYD
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Gender:F
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:140 MAYFAIR RD
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-1699
Mailing Address - Country:US
Mailing Address - Phone:601-450-2077
Mailing Address - Fax:601-450-2079
Practice Address - Street 1:140 MAYFAIR RD
Practice Address - Street 2:SUITE 1500
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1699
Practice Address - Country:US
Practice Address - Phone:601-450-2077
Practice Address - Fax:601-450-2079
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2011-04-28
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Provider Licenses
StateLicense IDTaxonomies
MS19363207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine