Individual
DR. ERIC LEON YANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 W LOWMAN ST, MULLINS, SC 29574-3107
(843) 464-4000
(843) 464-4017
Mailing address
119 W LOWMAN ST, MULLINS, SC 29574-3107
(843) 464-4000
(843) 464-4017
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101223145
VA
208600000X
Surgery Physician
Primary
35245
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010118271
—
VA
01
—
175116
ANTHEM
VA
Enumeration date
08/14/2006
Last updated
10/10/2013
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