1861227084 NPI number — MRS. MELODY RUTH BROWN HOYLE LMBT

Table of content: MRS. MELODY RUTH BROWN HOYLE LMBT (NPI 1861227084)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861227084 NPI number — MRS. MELODY RUTH BROWN HOYLE LMBT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN HOYLE
Provider First Name:
MELODY
Provider Middle Name:
RUTH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMBT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BROWN
Provider Other First Name:
MELODY
Provider Other Middle Name:
RUTH
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMBT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1861227084
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
280 RICHARD BYERLY ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HIGH POINT
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27262
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-250-2460
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
278 RICHARD BYERLY ROAD
Provider Second Line Business Practice Location Address:
280 RICHARD BYERLY ROAD
Provider Business Practice Location Address City Name:
HIGH POINT
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27262
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-250-2460
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/06/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  7039 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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