MEDICARE: NATALIE A. DOYLE, M. D., P. A.

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	261QP2300X	Primary Care Clinic/Center	9800846	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	021R0	OTHER	NC	BCBSNC
2	0456366	OTHER	NC	UHC PROVIDER #
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	97560	OTHER	NC	MEDCOST PROVIDER #
5	7479	OTHER	NC	CIGNA PROVIDER #

General Provider Information

NPI Number	:	1033111372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATALIE A. DOYLE, M. D., P. A.

Provider Business Mailing Address
First Line	:	2806B WOOTEN BLVD SW
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-8624
Country	:	US
Telephone Number	:	252-291-8523
Fax Number	:	252-291-9110

Provider Business Practice Location Address
First Line	:	2806B WOOTEN BLVD
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893
Country	:	US
Telephone Number	:	252-291-8523
Fax Number	:	252-291-9110

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. PATRICIA S BATTS
Credential	:
Telephone Number	:	252-291-8523

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	12/11/2012

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