John A Broyles
Dermatologist General Practice Physician Dermatopathologist Procedural Dermatology and 1 more
1157 Forsyth St
Macon
, Georgia 31201-7452
John A Broyles
Dermatologist General Practice Physician Dermatopathologist Procedural Dermatology and 1 more
1157 Forsyth St
Macon
, Georgia 31201-7452
(478) 274-8418
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
- Pediatric Dermatologist
- Procedural Dermatology
- General Practice Physician
Languages spoken
- English
Location
First Address
- John A Broyles
- 2400 Bellevue Rd Suite 21-A
- Dublin, GA
- Zip : 31021-2885
- Fax : (478) 274-8418
- Phone : (478) 275-7202
Second Address
- John A Broyles
- 1157 Forsyth St
- Macon, GA
- Zip : 31201-7452
- Fax : (478) 328-0438
- Phone : (478) 745-8581
Reviews
FAQs
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Where is John A Broyles ’s practice located?
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Is John A Broyles a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 013257 | GA |
| N | 207ND0900X | Dermatopathologist | 013257 | GA |
| N | 207NP0225X | Pediatric Dermatologist | 013257 | GA |
| N | 207NS0135X | Procedural Dermatology | 013257 | GA |
| N | 208D00000X | General Practice Physician | 013257 | GA |
National Provider Identifier
| NPI | 1811981368 |
|---|---|
| Provider Name | John A Broyles |
| First Address | Dublin, GA 31021-2885 |
| Second Address | Macon, GA 31201-7452 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/09/2005 |
| Last Update Date | 22/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000009501 | (05) | GA |
| D44952 | (02) | |
| DC4061 | RAILROAD MEDICARE (01) | GA |
| P00176976 | RAILROAD MEDICARE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.