Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 37854 | SC |
N | 111NI0900X | Internist | 37854 | SC |
N | 207R00000X | Internist | MD451312 | PA |
N | 111NI0900X | Internist | MD451312 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | 37854 | SC |
N | 207RC0200X | Critical Care Medicine | 37854 | SC |
Y | 207RI0011X | Interventional Cardiology | 37854 | SC |
NPI | 1003109869 |
---|---|
Provider Name | Dr. Jeffrey Peter Yourshaw |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2011 |
Last Update Date | 15/09/2020 |