Organization Name: | DR BILL YATES MD PC |
NPI Number: | 1629276845 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BILL YATES (DOCTOR) |
Mailing Address: | 203 19th St E Jasper |
State: | AL US |
Postal Code: | 355015457 |
Phone Number: | 2053843481 |
Fax Number: | 2053841057 |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 08/24/2010 |
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: |