Doctor Name: | PAUL GAYLE LAYMAN |
NPI Number: | 1083738629 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A.-C |
License Number: | 103403 |
Business Practice Address: | 1010 E Dixon Blvd Suite B Shelby, NC - 281526838 |
Business Phone Number: | 9804872900 |
Business Fax Number: | 9804872901 |
Mailing Address: | Po Box 601884, CHARLOTTE |
State: | NC |
Postal Code: | 282601884 |
Phone Number: | 9804872900 |
Fax Number: | 9804872901 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 02/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 103403 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |