# CAROLINA DIABETES AND ENDOCRINOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104006154
- **Authorized official:** DR. SAMUEL A YEBOAH M .D. (PRESIDENT)
- **Authorized official phone:** (864) 261-6440

## Contact information

- **Practice address:** 1221 N FANT ST, ANDERSON, SC 29621-4821
- **Practice address phone:** (864) 261-6440
- **Mailing address:** 1221 N FANT ST, ANDERSON, SC 29621-4821
- **Mailing address phone:** (864) 261-6440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 19586 | SC | Yes |

## Other

- **Enumeration date:** 11/07/2007
- **Last updated:** 11/07/2007