Individual
ANTHONY YAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1110 HILLCREST PKWY, DUBLIN, GA 31021-3687
(478) 296-2800
(478) 296-2801
Mailing address
PO BOX 16100, DUBLIN, GA 31040-6100
(478) 296-2800
(478) 296-2801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN104649
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
571021614B
—
GA
Enumeration date
06/12/2006
Last updated
10/23/2009
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