Yancey, Eric Leon

Yancey, Eric Leon is an sole proprietor health care provider with primary practice located at 119 W Lowman St , Mullins SC 29574-3107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Yancey, Eric Leon can be contacted via phone (843) 464-4000.

Contact Information

Primary practice address
119 W Lowman St Mullins SC 29574-3107
Phone: (843) 464-4000
Fax: (843) 464-4017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101223145 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 35245 South Carolina

Profile Details

NPI number 1417960360
LBN Legal business name Yancey, Eric Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Oct 10th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417960360 NPPES
Virginia MEDICAID 010118271
Virginia Other 175116

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