Provider Demographics
NPI:1538797071
Name:STAPLEFOOTE-BOYNTON, BESSIE LYNETTE (MD)
Entity type:Individual
Prefix:
First Name:BESSIE
Middle Name:LYNETTE
Last Name:STAPLEFOOTE-BOYNTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BESSIE
Other - Middle Name:LYNETTE
Other - Last Name:STAPLEFOOTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1307 TREYBROOKE CIR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-9141
Mailing Address - Country:US
Mailing Address - Phone:909-214-7618
Mailing Address - Fax:
Practice Address - Street 1:40 DUKE MEDICINE CIR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-4000
Practice Address - Country:US
Practice Address - Phone:919-684-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program