Individual
MARK C YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 VIRGINIA ST, GREENSBORO, NC 27401-1313
(336) 275-0927
Mailing address
300 W NORTHWOOD ST, GREENSBORO, NC 27401-1324
(336) 275-0927
(336) 275-4834
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32603
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200032531
RAILROAD MEICARE
NC
05
—
7989683
—
NC
Enumeration date
06/01/2006
Last updated
03/11/2024
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