Provider Demographics
NPI:1811382336
Name:SYKES, WILLIAM C III
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:C
Last Name:SYKES
Suffix:III
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 1:20409 STAGHORN CT
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-7185
Mailing Address - Country:US
Mailing Address - Phone:704-608-6974
Mailing Address - Fax:704-892-3934
Practice Address - Street 1:20409 STAGHORN CT
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-7185
Practice Address - Country:US
Practice Address - Phone:704-608-6974
Practice Address - Fax:704-892-3934
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171W00000X
NC247000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information