Individual
ERIC LERON YARBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
17550 E MAIN ST, LOUISVILLE, MS 39339-2772
(662) 773-3503
Mailing address
76 SHADOW LN, LOUISVILLE, MS 39339-3821
(662) 803-8157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903644
MS
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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