Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 38429 | NC |
NPI | 1144273632 |
---|---|
Provider Name | Dr. William A Sayles |
First Address | Louisburg, NC 27549-2313 |
Second Address | Louisburg, NC 27549-2313 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 10/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8974691 | (05) | NC |
D50102 | (02) |