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Individual

TIMOTHY YEATMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 E WOOD ST, 3RD FLOOR, SPARTANBURG, SC 29303-3040
(864) 560-1900
(864) 560-1925
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME47461
FL
2086X0206X
Surgical Oncology Physician
Primary
35276
SC
2086X0206X
Surgical Oncology Physician
TL35276
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17791
BLUE CROSS BLUE SHIELD
FL
05
352763
SC
05
370797100
FL
Enumeration date
08/01/2006
Last updated
12/18/2017
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