Individual
LOUISE TUTTLE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
521 HILL ST SW, THOMSON, GA 30824
(706) 595-1411
(865) 291-3228
Mailing address
PO BOX 636019, CINCINNATI, OH 45263-6019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46570
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00255671
RAILROAD MEDICARE
GA
Enumeration date
06/13/2006
Last updated
11/07/2007
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