Individual
DR. DAVID GLENN YARBOROUGH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5617 MAXWELL PL, WILMINGTON, NC 28409-2966
(910) 742-9243
(888) 746-1787
Mailing address
PO BOX 16310, WILMINGTON, NC 28408-6310
(910) 742-9243
(888) 746-1787
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1289
NC
103T00000X
Psychologist
Primary
412
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049M0
BCBS NC
NC
05
—
6001179
—
NC
01
—
P00821572
RAILROAD MEDICARE
NC
Enumeration date
09/10/2009
Last updated
11/08/2013
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