Individual
DR. YAMAN TAYARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
962 JOE FRANK HARRIS PKWY #106, CARTERSVILLE, GA 30120-0120
(770) 382-1926
(770) 387-0343
Mailing address
962 JOE FRANK HARRIS PKWY #106, CARTERSVILLE, GA 30120-0120
(770) 382-1926
(770) 387-0343
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
045641
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006548
BLUE CROSS BLUE SHIELD
GA
01
—
10036428
AMERIGROUP
GA
01
—
1924620
AETNA MGD CHOICE
GA
01
—
2900337
UNITED HEALTH CARE
GA
01
—
7115242
AETNA HMO
GA
01
—
9330560
CIGNA
GA
01
—
F82853
STATE HEALTH
GA
01
—
P00099422
RR MEDICARE
GA
Enumeration date
08/20/2006
Last updated
07/09/2007
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