MEDICARE: ELIAS EMILE AYLI D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	2017-02073	NC
2	207ND0101X	MOHS-Micrographic Surgery Physician	201702073	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2017-02073	OTHER	NC	NC LICENSE

General Provider Information

NPI Number	:	1376706101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIAS EMILE AYLI D.O.

Provider Business Mailing Address
First Line	:	3330 CUMBERLAND BLVD SE STE 200
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5996
Country	:	US
Telephone Number	:	770-951-8427
Fax Number	:	770-951-2157

Provider Business Practice Location Address
First Line	:	11640 NORTHPARK DR STE 200
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-5741
Country	:	US
Telephone Number	:	919-436-4124
Fax Number	:	919-439-9645

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	06/24/2024

Similar Medicare Providers

1821694381 — RALEIGH RADIOLOGY WAKEMED IMAGING, LLC
Practice Location Address:

11640 NORTHPARK DR STE 110
WAKE FOREST, NC
27587-5741

Practice Phone: 919-781-1437
Practice Fax:

1255517041 — DR. EDWARD MICHAEL GALICZYNSKI JR. DO
Practice Location Address:

11640 NORTHPARK DR STE 200
WAKE FOREST, NC
27587-5741

Practice Phone: 919-436-4124
Practice Fax: 919-439-9645

1316327323 — DR. MATTHEW STEPHEN BOULOS D.O.
Practice Location Address:

11640 NORTHPARK DR STE 100
WAKE FOREST, NC
27587-5741

Practice Phone: 919-366-7759
Practice Fax:

1437673522 — ERIN LAURA DIAMOND-PAULSEN FNP
Practice Location Address:

11640 NORTHPARK DR STE 100
WAKE FOREST, NC
27587-5741

Practice Phone: 919-235-6540
Practice Fax:

1497211189 — WAKE SKIN CANCER CENTER, PA
Practice Location Address:

11640 NORTHPARK DR STE 200
WAKE FOREST, NC
27587-5741

Practice Phone: 919-436-4124
Practice Fax:

1225789662 — JADA MARIE DILLNER PA-C
Practice Location Address:

11640 NORTHPARK DR STE 200
WAKE FOREST, NC
27587-5741

Practice Phone: 919-436-4124
Practice Fax:

Directions to “ ELIAS EMILE AYLI D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.