Individual
LISA JACKSON BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1347 OZONE DR, SUITE 2, SALUDA, NC 28773-5506
(828) 749-0149
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2016-02352
NC
Other
Enumeration date
03/16/2007
Last updated
01/26/2023
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