Organization
DR BILL YATES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL YATES M.D. (DOCTOR)
(205) 384-3481
Entity
Organization
Contact information
Practice address
203 19TH ST E, JASPER, AL 35501-5457
(205) 384-3481
(205) 384-1057
Mailing address
203 19TH ST E, JASPER, AL 35501-5457
(205) 384-3481
(205) 384-1057
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10923
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51085092
BLUE CROSS & BLUE SHIELD
AL
05
—
529302220
—
AL
Enumeration date
07/10/2007
Last updated
08/24/2010
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