Yearty, Charles D

Yearty, Charles D is an individual health care provider with primary practice located at 705 Dixie St , Carrollton GA 30117-3818. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Yearty, Charles D can be contacted via phone (770) 836-9666.

Contact Information

Primary practice address
705 Dixie St Carrollton GA 30117-3818
Phone: (770) 836-9666
Fax: (770) 836-9212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-037195 Alabama

Profile Details

NPI number 1275582538
LBN Legal business name Yearty, Charles D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jul 1st, 2010 - about 16 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 1275582538 NPPES
Alabama Other 51526410 BLUE SHIELD
Alabama Other P00197496 BLUE SHIELD
Alabama MEDICAID 051526410 BLUE SHIELD

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