Individual
DR. JACK FISHER YANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 389-3993
(706) 389-3096
Mailing address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 389-3993
(706) 389-3096
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
91974
GA
Other
Enumeration date
02/06/2019
Last updated
10/11/2022
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