Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | 820 | TN |
Y | 213ES0103X | Foot & Ankle Surgery | E5322 | CA |
N | 213ES0103X | Foot & Ankle Surgery | PO3136 | FL |
N | 213ES0131X | Foot Surgery | 80215 | MS |
NPI | 1073530671 |
---|---|
Provider Name | Dr. Susan M Yeager |
First Address | Dyersburg, TN 38024-1882 |
Second Address | Redding, CA 96002-0167 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 29/08/2017 |