Individual
MRS. LILY YADAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1501 MILSTEAD RD NE STE 110, CONYERS, GA 30012-3849
(770) 760-9949
(770) 760-9951
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(404) 256-4777
(404) 256-5515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN252873
GA
363LF0000X
Family Nurse Practitioner
RN252873
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003169065B
—
GA
05
—
003169065C
—
GA
01
—
20250I1992
MEDICARE PTAN
GA
Enumeration date
10/20/2015
Last updated
08/20/2020
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