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Individual

JOSEPH W YON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 226-0511
(864) 231-7018
Mailing address
211 S MAIN ST, ANDERSON, SC 29624-1620
(864) 226-0511
(864) 231-7018

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9884
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00326488B
MEDICAID
GA
05
098842
SC
01
300020826
RAIL ROAD MEDICARE
SC
01
57-0853635
BLUE CROSS
SC
Enumeration date
01/12/2007
Last updated
10/17/2007
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