Individual
DR. J E YARBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1010 W MAIN ST, LAURENS, SC 29360-2608
(864) 984-6504
Mailing address
1010 W MAIN ST, LAURENS, SC 29360-2608
(864) 984-6504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
529
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410001743
RAIL ROAD MEDICARE ID
SC
05
—
D05297
—
SC
Enumeration date
10/12/2006
Last updated
04/09/2012
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