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Individual

DR. JAMES ALBERT YECKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
835 E 65TH ST, SUITE 107, SAVANNAH, GA 31405-4421
(912) 354-8866
(912) 353-8460
Mailing address
PO BOX 22577, SAVANNAH, GA 31403-2577
(912) 354-8866
(912) 353-8460

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
17909
GA
207NS0135X
Procedural Dermatology Physician
Primary
17909
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000081991A
GA
Enumeration date
08/30/2006
Last updated
10/26/2010
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