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NPI Code Detail

MEDICARE: BRIANNA DOYLE

MEDICARE: BRIANNA DOYLE
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1760087860
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA DOYLE
Provider Business Mailing Address
First Line : 8509 CROWN CRESCENT CT
Second Line :
City : CHARLOTTE
State : NC
Zip : 28227-7733
Country : US
Telephone Number : 669-661-1688
Fax Number :
Provider Business Practice Location Address
First Line : 8509 CROWN CRESCENT CT
Second Line :
City : CHARLOTTE
State : NC
Zip : 28227-7733
Country : US
Telephone Number : 309-634-9946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2020
Last Update Date : 12/04/2020

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Directions to “ BRIANNA DOYLE ” Practice Location

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