Healthcare Provider Details

I. General information

NPI: 1619942158
Provider Name (Legal Business Name): WILLIAM LANSON PLYLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2006
Last Update Date: 11/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 BAMBOO RD
BOONE NC
28607-8721
US

IV. Provider business mailing address

801 BAMBOO RD
BOONE NC
28607-8721
US

V. Phone/Fax

Practice location:
  • Phone: 828-262-1980
  • Fax: 828-266-1049
Mailing address:
  • Phone: 828-262-1980
  • Fax: 828-266-1049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9700714
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: