Individual
GREG ALLEN YATES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1057 6TH AVE, HUNTINGTON, WV 25701-2307
(681) 378-6922
Mailing address
1933 ARTISAN AVE APT 4, HUNTINGTON, WV 25703-1741
(304) 963-2729
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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