Organization
RICHARD L YELVERTON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L YELVERTON MD (PRESIDENT)
(601) 957-7340
Entity
Organization
Contact information
Practice address
1040 RIVER OAKS DR STE 102, JACKSON, MS 39232-9539
(601) 933-5660
(601) 933-5670
Mailing address
971 LAKELAND DR STE 1460, JACKSON, MS 39216-4621
(601) 957-7340
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04433
MS
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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