Individual
DR. GARY WAYNE YAWN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 NEW SHACKLE ISLAND RD STE 300C, HENDERSONVILLE, TN 37075-2384
(615) 824-0043
Mailing address
353 NEW SHACKLE ISLAND RD STE 300C, HENDERSONVILLE, TN 37075-2384
(615) 824-0043
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
73889
GA
207RI0011X
Interventional Cardiology Physician
Primary
55661
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003163121A
—
GA
01
—
13587267
CAQH
GA
Enumeration date
07/01/2008
Last updated
01/18/2024
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