Individual
BENJAMIN JAY LYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
181 DANIEL RD, FOREST CITY, NC 28043-7151
(828) 286-9036
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2018-01921
NC
Other
Enumeration date
04/14/2016
Last updated
07/15/2024
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