Provider Demographics
NPI:1962232942
Name:BOYLAND, BRITTANY CHAUNTE
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CHAUNTE
Last Name:BOYLAND
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 1:1706 MCALEXANDER RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:38635-9340
Mailing Address - Country:US
Mailing Address - Phone:662-278-9830
Mailing Address - Fax:
Practice Address - Street 1:1706 MCALEXANDER RD
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:38635-9340
Practice Address - Country:US
Practice Address - Phone:662-278-9830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty