Organization
DR. JUDITH S. YONGUE
Active
Organization
DR. JUDITH S. YONGUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCUS W. GILLIKIN MD, MBA (CONSULTANT)
(252) 353-7162
Entity
Organization
Contact information
Practice address
107 COMMERCE ST, D, GREENVILLE, NC 27858-5027
(252) 355-2768
(252) 355-0403
Mailing address
PO BOX 30696, GREENVILLE, NC 27833-0696
(252) 353-7162
(252) 353-1760
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13542
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8989714
—
NC
Enumeration date
09/26/2006
Last updated
08/22/2020
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