Individual
MR. BRENT LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
724 SOUTH HORNER BLVD, SANFORD, NC 27330
(919) 776-6767
Mailing address
108 SIR WALKER LN, CARY, NC 27519
(770) 377-8066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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