Provider Demographics
NPI:1952364630
Name:BYERS, WILLIAM L (PA C)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:L
Last Name:BYERS
Suffix:
Gender:M
Credentials:PA C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 SAINT DUNSTANS RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2790
Mailing Address - Country:US
Mailing Address - Phone:828-252-4020
Mailing Address - Fax:828-252-4022
Practice Address - Street 1:1 SAINT DUNSTANS RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2790
Practice Address - Country:US
Practice Address - Phone:828-252-4020
Practice Address - Fax:828-252-4022
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-01095363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41963800Medicaid
WI41963800Medicaid
S22291Medicare UPIN