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Individual

CHANNING BROYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1442 MILITARY CUTOFF RD, WILMINGTON, NC 28403-3605
(910) 256-6088
(910) 256-6089
Mailing address
1442 MILITARY CUTOFF RD, WILMINGTON, NC 28403-3605
(910) 256-6088
(910) 256-6089

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04910
NC

Other

Enumeration date
07/31/2014
Last updated
02/10/2015
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