Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CHIR010426 | GA |
NPI | 1326631508 |
---|---|
Provider Name | Andrew Yekel |
First Address | Alpharetta, GA 30009-1996 |
Second Address | Alpharetta, GA 30009-1996 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2021 |
Last Update Date | 18/02/2021 |