Basic Information
| Provider Information | |||||||||
| NPI: | 1790425742 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BOYD | ||||||||
| FirstName: | LINDSEY | ||||||||
| MiddleName: | ERIN | ||||||||
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| Mailing Information | |||||||||
| Address1: | ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY | ||||||||
| Address2: | MEDICAL CENTER BLVD | ||||||||
| City: | WINSTON SALEM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 271571087 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367164551 | ||||||||
| FaxNumber: | 3367169642 | ||||||||
| Practice Location | |||||||||
| Address1: | ATRIUM HEALTH WAKE FOREST BAPTIST DEPT OF PSYCHIATRY | ||||||||
| Address2: | MEDICAL CENTER BLVD | ||||||||
| City: | WINSTON SALEM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 271571087 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3367164551 | ||||||||
| FaxNumber: | 3367169642 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2022 | ||||||||
| LastUpdateDate: | 03/29/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.