Individual
YOLLA JULES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3120 N OAK STREET EXT, BEHAVIORAL HEALTH SERVICES OF SOUTH GA, VALDOSTA, GA 31602-5909
(229) 671-6170
(229) 671-6779
Mailing address
3120 N OAK STREET EXT, BEHAVIORAL HEALTH SERVICES OF SOUTH GA, VALDOSTA, GA 31602-5909
(229) 671-6170
(229) 671-6779
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
66174
GA
2084P0804X
Child & Adolescent Psychiatry Physician
66174
GA
283Q00000X
Psychiatric Hospital
15738
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033134918C
—
GA
Enumeration date
04/11/2006
Last updated
10/14/2014
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