| Organization Name: | YANCEYVILLE PRIMARY CARE PA |
| NPI Number: | 1699830711 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHY L PATTERSON (OWNER) |
| Mailing Address: | 1499 Main Street Yanceyville |
| State: | NC US |
| Postal Code: | 27379 |
| Phone Number: | 3366946969 |
| Fax Number: | 3366941266 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 07/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |