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NPI Code Detail

MEDICARE: BOYLAN MEDICAL ASSOCIATES, PLLC

MEDICARE: BOYLAN MEDICAL ASSOCIATES, PLLC
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
1207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21295966349OTHERNPI

General Provider Information

NPI Number : 1295966349
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOYLAN MEDICAL ASSOCIATES, PLLC
Provider Business Mailing Address
First Line : 3948 BROWNING PL
Second Line : SUITE 103
City : RALEIGH
State : NC
Zip : 27609-6510
Country : US
Telephone Number : 919-781-9650
Fax Number :
Provider Business Practice Location Address
First Line : 3948 BROWNING PL
Second Line : SUITE 103
City : RALEIGH
State : NC
Zip : 27609-6510
Country : US
Telephone Number : 919-781-9650
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHARLES S. WEHBIE
Credential : MD
Telephone Number : 919-781-9650
Provider Enumeration Date : 08/06/2009
Last Update Date : 09/16/2009

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Directions to “BOYLAN MEDICAL ASSOCIATES, PLLC ” Practice Location

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