Yates, Thomas David
Yates, Thomas David is an individual health care provider with primary practice located at 58 Big A Rd , Toccoa GA 30577-6017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Yates, Thomas David can be contacted via phone (706) 886-6819.Contact Information
Primary practice address
58 Big A Rd
Toccoa GA 30577-6017
Phone: (706) 886-6819
Fax: (706) 282-5368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 26417 | Georgia |
Profile Details
| NPI number | 1225012446 |
|---|---|
| LBN Legal business name | Yates, Thomas David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Oct 12th, 2020 - about 6 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 | 1225012446 | NPPES |
| Georgia | MEDICAID | 000286965 | |
| Georgia | MEDICAID | 000001834A |
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