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Organization

WAKE SKIN CANCER CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIAS EMILE AYLI DO (PRESIDENT)
(919) 436-4124
Entity
Organization

Contact information

Practice address
11640 NORTHPARK DR STE 200, WAKE FOREST, NC 27587-5741
(919) 436-4124
Mailing address
11640 NORTHPARK DR STE 200, WAKE FOREST, NC 27587-5741
(919) 436-4124

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary

Other

Enumeration date
02/18/2019
Last updated
08/06/2024
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