Individual
NURA F YASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 GARREDD BLVD STE A, AUGUSTA, GA 30909-6751
(706) 863-5776
(706) 868-7057
Mailing address
1604 ORCHARD DR, CANTON, MI 48188-1547
(913) 279-0600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0431966
KS
207Q00000X
Family Medicine Physician
4301092485
MI
207Q00000X
Family Medicine Physician
Primary
84792
GA
207Q00000X
Family Medicine Physician
L2114580
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216770C
—
KS
Enumeration date
10/29/2006
Last updated
09/11/2020
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