Johnnie Lyles in Charlotte - General Practice

Johnnie Lyles - NPI 1841491370

Johnnie Lyles is a General Practice in Charlotte, North Carolina. Johnnie Lyles practices all healthcare services and medical treatments related to General Practice. The NPI Number for Johnnie Lyles is 1841491370. The last update date is 2016-06-17.

Johnnie Lyles's current location address is 2908 Oak Lake Blvd, Charlotte, North Carolina. You can contact this provider via phone number 7045678233. The mailing address for Johnnie Lyles is 2908 Oak Lake Blvd, Charlotte, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Johnnie Lyles
Address 2908 Oak Lake Blvd, Charlotte, North Carolina
Phone Number 7045678233
Fax Number
Sole Proprietor N
Credentials M.D., M.B.

NPI Number Detail

NPI Number 1841491370
Provider Enumeration Date 2007-05-31
Last Updated Date 2016-06-17

Provider Mailing Address Detail

Address 2908 Oak Lake Blvd
City Charlotte
State North Carolina (NC)
Post Code 282087703
Phone Number 7045678233
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 2009-00568
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1841491370 NC UNITED HEALTH CARE
1841491370 NC BCBSNC
1841491370 NC HEALTHNET/TRICARE
1841491370 NC --
1841491370 NC MEDCOST
1841491370 NC COVENTRY/WELLPATH
1841491370 NC AETNA
7014253 NC CIGNA

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FAQs about Johnnie Lyles

What is the unique identifier code issued to Johnnie Lyles by the Centers for Medicare & Medicaid Services (CMS)?

The Johnnie Lyles has been assigned the NPI (National Provider Identifier) 1841491370. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Johnnie Lyles?

The Johnnie Lyles is physically situated at 2908 Oak Lake Blvd, in the city of Charlotte, state of NC, with the postal code 282087703.

What is the Johnnie Lyles's specialty and taxonomy code?

The Johnnie Lyles's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.

On what date was the 1841491370 assigned to Johnnie Lyles?

The Johnnie Lyles was issued its 1841491370 on 2007-05-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Johnnie Lyles, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Johnnie Lyles, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-06-17.

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