Broyles, Lisa Jackson

Broyles, Lisa Jackson is an individual health care provider with primary practice located at 1347 Ozone Dr Suite 2, Saluda NC 28773-5506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Broyles, Lisa Jackson can be contacted via phone (828) 749-0149.

Contact Information

Primary practice address
1347 Ozone Dr Suite 2 Saluda NC 28773-5506
Phone: (828) 749-0149
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2016-02352 North Carolina

Profile Details

NPI number 1417081720
LBN Legal business name Broyles, Lisa Jackson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jan 26th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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