Individual
DR. BERYL GAIL YANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3511 CHERE CAROL RD, HUMBOLDT, TN 38343-3638
(731) 784-0064
(731) 784-7358
Mailing address
3511 CHERE CAROL RD, HUMBOLDT, TN 38343-3638
(731) 784-0064
(731) 784-7358
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20060
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507997
—
TN
Enumeration date
07/01/2006
Last updated
11/20/2008
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