Doctor Name: | BILL YATES |
NPI Number: | 1043312101 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 10923 |
Business Practice Address: | 203 19th Street East Jasper, AL - 35501 |
Business Phone Number: | 2053843481 |
Business Fax Number: | 2053841057 |
Mailing Address: | 203 19th Street East, JASPER |
State: | AL |
Postal Code: | 35501 |
Phone Number: | 2053843481 |
Fax Number: | 2053841057 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10923 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |