Individual
STEVEN TAE YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
009082
GA
2085R0202X
Diagnostic Radiology Physician
Primary
2024-00812
NC
2085R0204X
Vascular & Interventional Radiology Physician
96403
GA
2085R0204X
Vascular & Interventional Radiology Physician
OS022164
PA
Other
Enumeration date
06/07/2017
Last updated
08/07/2025
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