Individual provider · Type 1 NPI

Carlos Enrique Layne, PA-C

Surgical Physician Assistant · Augusta, GA

NPI number 1760490478 Active

Practice location

1 Freedom Way
Augusta, GA 30904-6258

Fax (706) 823-3939

Mailing address

181 Kestwick Dr W
Martinez, GA 30907-1687

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X002585 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1760490478

Carlos Enrique Layne, PA-C's National Provider Identifier is 1760490478, issued on Aug 4, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Augusta, GA. The record was last updated on Jul 8, 2007.