Individual
DR. THEODORE LEON YARBORO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 SPARTA RD, SANDERSVILLE, GA 31082-1860
(478) 240-2125
Mailing address
465 PLANTATION DR, SANDERSVILLE, GA 31082-7453
(478) 552-6787
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
037929
GA
207Q00000X
Family Medicine Physician
Primary
37929
GA
Other
Enumeration date
05/16/2006
Last updated
07/26/2011
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