NPI 1104895762 JERRY YUAN M.D. MCDONOUGH GA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jerry Yuan - NPI: 1104895762

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JERRY YUAN
NPI Number: 1104895762
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: 042495
Business Practice Address: 11459 Johns Creek Pkwy
Suite 170 Johns Creek, GA - 300973515
Business Phone Number: 6784170400
Business Fax Number: 6784170483
Mailing Address: 1930 Brannan Rd,
MCDONOUGH
State: GA
Postal Code: 302534310
Phone Number: 6782844040
Fax Number: 6782844076
NPI Enumeration Date: 03/16/2006
NPI Last Update Date: 01/22/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208800000X
License Number: 042495
Healthcare Provider Taxonomy:
(Secondary)
Y
State: GA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Urology
Taxonomy Specialization:
Taxonomy Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


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