Doctor Name: | DR. WILLIAM AARON BROYLES |
NPI Number: | 1801839964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | SC 004687L |
Business Practice Address: | 105 Chestnut St Mars Hill, NC - 287549602 |
Business Phone Number: | 8286801161 |
Business Fax Number: | 8286801191 |
Mailing Address: | 105 Chestnut St, MARS HILL |
State: | NC |
Postal Code: | 287549602 |
Phone Number: | 8286801161 |
Fax Number: | 8286801191 |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC 004687L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |