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Individual

DR. GEORGE MARSHALL YEARTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1690 HIGHWAY 160 W, FORT MILL, SC 29708-8024
(803) 547-7541
(803) 548-0122
Mailing address
1690 HIGHWAY 160 W, FORT MILL, SC 29708-8024
(803) 547-7541
(803) 548-0122

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34506
NC
207Q00000X
Family Medicine Physician
Primary
9883
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098833
SC
Enumeration date
04/06/2006
Last updated
02/15/2013
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