NPI 1063570802

Jared Graham Boyles, BS

Practitioner Case Manager/Care Coordinator Moulton, AL

Practice location

Address: 317 Hospital St, Moulton, AL 35650-1269
Phone: (256) 355-6105
Mailing address: 1316 Somerville Rd SE Suite 1, Decatur, AL 35601-4305

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1063570802
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.