Individual
MR. KYLE T YANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2878 FIVE FORKS TRICKUM RD, STE 2A, LAWRENCEVILLE, GA 30044-5896
(678) 344-8700
(678) 344-8600
Mailing address
106 BROAD ST, APT 1632, LOGANVILLE, GA 30052-7463
(678) 635-8130
(678) 635-8131
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004390
GA
Other
Enumeration date
07/29/2006
Last updated
03/30/2016
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