Individual
EDMOND P. YABUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 STONECREST BLVD, SMYRNA, TN 37167-6810
(615) 768-2000
Mailing address
1431 CENTERPOINT BOULEVARD, SUITE 100, KNOXVILLE, TN 37932
(888) 203-1274
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-36680
KS
207P00000X
Emergency Medicine Physician
Primary
28835
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3092614
—
TN
Enumeration date
06/03/2006
Last updated
01/26/2021
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