Provider Demographics
NPI:1952466708
Name:BOYD, JAMES TODD (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:TODD
Last Name:BOYD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 681789
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-1789
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 SOUTHERN CT
Practice Address - Street 2:STE. B
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-3060
Practice Address - Country:US
Practice Address - Phone:803-791-3773
Practice Address - Fax:843-377-1446
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4018111NX0800X, 111NX0800X
NC4314111NX0800X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4314OtherDC LICENSE
SC4018OtherDC LICENSE
NC4314OtherDC LICENSE
TX8F24542Medicare PIN
TXDC 6935OtherLICENCE #
TXU61022Medicare UPIN
TX609159OtherBLUE CROSS BLUE SHIELD TX
TX609159Medicare ID - Type Unspecified