Individual
SHYAMALA YENNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
203 INDIGO DR, BRUNSWICK, GA 31525-6865
(912) 261-2669
(912) 261-0561
Mailing address
203 INDIGO DR, BRUNSWICK, GA 31525-6865
(703) 992-5118
(912) 261-0561
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N/A
DC
Other
Enumeration date
07/19/2010
Last updated
09/11/2025
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