Individual
TARA J BROYHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
2948 S NC 127 HWY, HICKORY, NC 28602-5401
(828) 294-0203
Mailing address
2948 S NC 127 HWY, HICKORY, NC 28602-5401
(828) 294-0203
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255314605
—
NC
Enumeration date
03/06/2019
Last updated
03/06/2019
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