Provider Demographics
NPI:1952476558
Name:BOYSIA, FRANK T (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:T
Last Name:BOYSIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 W PINE ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4726
Mailing Address - Country:US
Mailing Address - Phone:843-668-4524
Mailing Address - Fax:843-669-8073
Practice Address - Street 1:309 W PINE ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4726
Practice Address - Country:US
Practice Address - Phone:843-668-4524
Practice Address - Fax:843-669-8073
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC08666207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC08666Medicaid
SC08666Medicaid
SC1855Medicare PIN