John A Broyles is a Dermatopathology in Macon, Georgia. John A Broyles practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for John A Broyles is 1811981368. The last update date is 2015-04-22.
John A Broyles's current location address is 1157 Forsyth St, Macon, Georgia. You can contact this provider via phone number 4787458581 and fax number 4783280438. The mailing address for John A Broyles is 1157 Forsyth St, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John A Broyles |
|---|---|
| Address | 1157 Forsyth St, Macon, Georgia |
| Phone Number | 4787458581 |
| Fax Number | 4783280438 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811981368 |
|---|---|
| Provider Enumeration Date | 2005-09-09 |
| Last Updated Date | 2015-04-22 |
Provider Mailing Address Detail
| Address | 1157 Forsyth St |
|---|---|
| City | Macon |
| State | Georgia (GA) |
| Post Code | 312017452 |
| Phone Number | 4787458581 |
| Fax Number | 4783280438 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatopathology |
|---|---|
| Taxonomy | 207Nd0900X |
| Licence No | 13257 |
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Definition: A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellul |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00176976 | GA | RAILROAD MEDICARE | |
| DC4061 | GA | RAILROAD MEDICARE | |
| 9501 | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John A Broyles by the Centers for Medicare & Medicaid Services?
The John A Broyles has been assigned the NPI (National Provider Identifier) 1811981368. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John A Broyles?
The John A Broyles is situated at 1157 Forsyth St, in the city of Macon, state of GA, with the zip code 312017452.
What is John A Broyles's area of expertise and its corresponding taxonomy classification?
The John A Broyles's field of specialization is Dermatopathology, and it falls under the taxonomy code 207Nd0900X, which categorizes healthcare providers based on their areas of practice.
On what date did the John A Broyles receive the assignment of its 1811981368 from the Centers for Medicare & Medicaid Services?
The John A Broyles was issued its 1811981368 by the Centers for Medicare & Medicaid Services on 2005-09-09.
When was the John A Broyles's information last updated?
The John A Broyles's information was last updated on 2015-04-22.