Yates, Ferdinand Domenic
Yates, Ferdinand Domenic is an individual health care provider with primary practice located at 2000 Professional Way #200, Woodstock GA 30188-4093. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Yates, Ferdinand Domenic can be contacted via phone (770) 517-0250.Contact Information
Primary practice address
2000 Professional Way #200
Woodstock GA 30188-4093
Phone: (770) 517-0250
Fax: (770) 517-0260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 140477-1 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 73676 | Georgia |
Profile Details
| NPI number | 1154362366 |
|---|---|
| LBN Legal business name | Yates, Ferdinand Domenic |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | May 3rd, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154362366 | NPPES |
| New York | MEDICAID | 00669374 | |
| New York | MEDICAID | 003169014A |
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