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Individual

ROBERT PATRICK YEATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-7994
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-7994

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23888
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119482
SC
05
190168000
WV
01
2675
PARTNERS
01
33639
MEDCOST
01
4631965
AETNA
05
6580505
VA
01
89677
BCBS
05
8989677
NC
Enumeration date
11/28/2005
Last updated
08/23/2010
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