Provider Demographics
NPI:1801869458
Name:BOYD, ROBERT E (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:BOYD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3 RICHLAND MEDICAL PARK
Mailing Address - Street 2:SUITE 240
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:803-765-1550
Mailing Address - Fax:803-771-4379
Practice Address - Street 1:3 RICHLAND MEDICAL PARK
Practice Address - Street 2:SUITE 240
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-765-1550
Practice Address - Fax:803-771-4379
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2007-10-24
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Provider Licenses
StateLicense IDTaxonomies
SC12085207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD90524Medicare UPIN