Provider Demographics
NPI:1669826459
Name:VOYLES, RAPH JR
Entity Type:Individual
Prefix:
First Name:RAPH
Middle Name:
Last Name:VOYLES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:942 STATE LINE RD
Mailing Address - Street 2:942
Mailing Address - City:MOORESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28114-7693
Mailing Address - Country:US
Mailing Address - Phone:704-604-0065
Mailing Address - Fax:
Practice Address - Street 1:942 STATE LINE RD
Practice Address - Street 2:942
Practice Address - City:MOORESBORO
Practice Address - State:NC
Practice Address - Zip Code:28114-7693
Practice Address - Country:US
Practice Address - Phone:704-604-0065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3-4082255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer