Provider profile · NPI 1376706101
Elias Emile Ayli, D.O.
Dermatology, MOHS-Micrographic Surgery · Wake Forest, NC · NPI 1376706101 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Individual
Primary specialty
Dermatology, MOHS-Micrographic Surgery
Enumerated
Jul 2, 2008
License(s)
2017-02073 (NC), 201702073 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 11640 NORTHPARK DR STE 200 | Wake Forest, NC 27587-5741 | 919-436-4124 |
| MAILING | 3330 CUMBERLAND BLVD SE STE 200 | Atlanta, GA 30339-5996 | 770-951-8427 |
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