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Channing Broyan
NPI 1952719205 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1442 Military Cutoff Rd
Wilmington, NC 28403 - Phone
- (910) 256-6088
- Fax
- (910) 256-6089
- Organisation at this address
- Medac Health Services, Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina