Provider Demographics
NPI:1144273632
Name:SAYLES, WILLIAM A (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:SAYLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:601 N BICKETT BLVD
Mailing Address - Street 2:
Mailing Address - City:LOUISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27549-2313
Mailing Address - Country:US
Mailing Address - Phone:919-496-3680
Mailing Address - Fax:919-496-5673
Practice Address - Street 1:601 N BICKETT BLVD
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2313
Practice Address - Country:US
Practice Address - Phone:919-496-3680
Practice Address - Fax:919-496-5673
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38429207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8974691Medicaid
NC8974691Medicaid
D50102Medicare UPIN