Individual
JUDITH SALLE YONGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PA
Contact information
Practice address
107 COMMERCE ST, SUITE D, GREENVILLE, NC 27858-5027
(252) 355-2768
(252) 355-0403
Mailing address
107 COMMERCE ST, SUITE D, GREENVILLE, NC 27858-5027
(252) 355-2768
(252) 355-0403
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
03/29/2006
Last updated
05/19/2009
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