Individual
GWENDOLYN M YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10910 LITTLE PATUXENT PKWY, STE 100, COLUMBIA, MD 21044
(410) 997-8444
(410) 997-8832
Mailing address
11067 GAITHER FARM RD, ELLICOTT CITY, MD 21042-6126
(410) 997-3334
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0057867
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403714600
—
MD
01
—
LN9761480604
CAREFIRST
MD
01
—
W6620190
CAREFIRST
DC
Enumeration date
03/23/2006
Last updated
09/28/2009
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