Individual
BESSTINA LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2227 DRAKE AVE SW STE 26, HUNTSVILLE, AL 35805-5146
(256) 801-9296
Mailing address
2227 DRAKE AVE SW STE 26, HUNTSVILLE, AL 35805-5146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6209
GA
363A00000X
Physician Assistant
973
AL
Other
Enumeration date
09/22/2011
Last updated
02/11/2015
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