Provider Demographics
NPI:1427470251
Name:BOYD, CARLA NADINE
Entity type:Individual
Prefix:MS
First Name:CARLA
Middle Name:NADINE
Last Name:BOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1156 B OLD MCGRAW RD
Mailing Address - Street 2:
Mailing Address - City:EASTOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29044
Mailing Address - Country:US
Mailing Address - Phone:803-272-2424
Mailing Address - Fax:803-353-2082
Practice Address - Street 1:1156 B OLD MCGRAW RD
Practice Address - Street 2:
Practice Address - City:EASTOVER
Practice Address - State:SC
Practice Address - Zip Code:29044
Practice Address - Country:US
Practice Address - Phone:803-272-2424
Practice Address - Fax:803-353-2082
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide