Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 10015 | NC |
N | 1223D0001X | Dental Public Health | 10015 | NC |
NPI | 1679956908 |
---|---|
Provider Name | Dr. Elyse Hayes |
First Address | Cary, NC 27519-5967 |
Second Address | Asheboro, NC 27205-7368 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2015 |
Last Update Date | 24/09/2018 |