| Doctor Name: | MRS. AMBER BOYD |
| NPI Number: | 1407005085 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | RN149651 |
| Business Practice Address: | 626 Dallas Hwy Villa Rica, GA - 301801209 |
| Business Phone Number: | 7704599378 |
| Business Fax Number: | 7704598613 |
| Mailing Address: | 626 Dallas Hwy, VILLA RICA |
| State: | GA |
| Postal Code: | 301801209 |
| Phone Number: | 7704599378 |
| Fax Number: | 7704598613 |
| NPI Enumeration Date: | 09/18/2008 |
| NPI Last Update Date: | 09/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | RN149651 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |