Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | 35038 | AL |
N | 204E00000X | Oral & Maxillofacial Surgeon | D-10077 | MA |
NPI | 1508028002 |
---|---|
Provider Name | Yedeh P Ying |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233-2110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 24/06/2016 |