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Individual

ELIAS EMILE AYLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
11640 NORTHPARK DR STE 200, WAKE FOREST, NC 27587-5741
(919) 436-4124
(919) 439-9645
Mailing address
3330 CUMBERLAND BLVD SE STE 200, ATLANTA, GA 30339-5996
(770) 951-8427
(770) 951-2157

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2017-02073
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
201702073
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2017-02073
NC LICENSE
NC
Enumeration date
07/02/2008
Last updated
06/24/2024
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