Provider Demographics
NPI:1356787279
Name:BOYD, EMILY SINEWAY (MBBS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:SINEWAY
Last Name:BOYD
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:LANE
Other - Last Name:SINEWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8953 OLD SOUTHWICK PASS
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7140
Mailing Address - Country:US
Mailing Address - Phone:404-673-0308
Mailing Address - Fax:770-664-7379
Practice Address - Street 1:550 S JACKSON ST
Practice Address - Street 2:ACB, 3RD FLOOR
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-1622
Practice Address - Country:US
Practice Address - Phone:502-852-5666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-19
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA77093208100000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program