Individual
JEREMY YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1405 TIMBER DR E, GARNER, NC 27529-6926
(919) 779-6423
Mailing address
1405 TIMBER DR E, GARNER, NC 27529-6926
(919) 779-6423
(919) 662-2021
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2022-00653
NC
208000000X
Pediatrics Physician
UO6449
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
10/21/2023
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