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Johnnie Lyles, MD,MBA
General Practice Physician in Charlotte, North Carolina
NPI 1841491370

Johnnie Lyles is a General Practice Physician based in Charlotte, NC. Johnnie Lyles practices in Charlotte, NC and has the professional credentials of MD,MBA. The NPI Number for Johnnie Lyles is 1841491370 and holds a License No. 2009-00568 (North Carolina).

The current practice location address for Johnnie Lyles is 2908 Oak Lake Blvd, Charlotte, NC and can be reached out via phone at 704-567-8233.

Location: 2908 Oak Lake Blvd, Charlotte, NC, 28208-7703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841491370
Provider Name
Johnnie Lyles
Credential
MD,MBA
Provider Entity Type
Individual
Gender
Male
Address
2908 Oak Lake Blvd, Charlotte, NC, 28208-7703
Phone Number
704-567-8233
Fax Number
Provider Enumeration Date
05/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841491370 01 NC UNITED HEALTH CARE
1841491370 01 NC BCBSNC
1841491370 01 NC HEALTHNET/TRICARE
1841491370 05 NC
1841491370 01 NC MEDCOST
1841491370 01 NC COVENTRY/WELLPATH
1841491370 01 NC AETNA
7014253 01 NC CIGNA
institution
Provider Business Practice Location Address Details
Address
2908 Oak Lake Blvd
City
Charlotte
State
North Carolina
Zip
28208-7703
Phone Number
704-567-8233
Fax Number
person
Provider Business Mailing Address Details
Address
2908 Oak Lake Blvd
City
Charlotte
State
North Carolina
Zip
28208-7703
Phone Number
704-567-8233
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
2009-00568 (North Carolina)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
2009-00568 (North Carolina)
Definition
Definition to come...
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