Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 036910 | GA |
NPI | 1023017829 |
---|---|
Provider Name | Karen Ann Yeh |
First Address | Augusta, GA 30901-2643 |
Second Address | Augusta, GA 30901-2643 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 01/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023017829 | NPI (01) | GA |