1124019781

Everything you always wanted to know about YATES A GLENN MD but were afraid to ask.

YATES A GLENN MD

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
YATES A GLENN MD
Gender:
Male
Enumeration date:
2005-11-02
Last update date:
2012-11-16
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
8474 Other STATE LICENSE AL

Taxonomies

Taxonomy State License Number Primary?
207R00000X Internal Medicine AL 8474 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 3342620342
Practice Location Address Telephone Number 3342620342
Mailing Address Fax Number 3342620390
Practice Location Address Fax Number 3342620390

Addresses

Type Address City State Postal Country
Mailing Address 1722 PINE ST SUITE 309 MONTGOMERY AL 36106 AL
Practice Location Address 1722 PINE ST SUITE 309 MONTGOMERY AL 36106 AL

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