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Individual

DR. GE YE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2180 VINEVILLE AVE, MACON, GA 31204-3124
(478) 742-3631
Mailing address
145 RIVER VALLEY TRL, KATHLEEN, GA 31047-2139
(478) 997-9485

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001232
GA
367H00000X
Anesthesiologist Assistant
003589
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002074B
GA
01
P00123543
RAILROAD MEDICARE
GA
Enumeration date
08/04/2006
Last updated
04/09/2016
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