Individual
DR. SAMUEL RUFFIN YELVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
971 LAKELAND DR STE 1460, JACKSON, MS 39216-4684
(601) 982-3202
(601) 982-3259
Mailing address
971 LAKELAND DR STE 1460, JACKSON, MS 39216-4684
(601) 951-7583
(601) 982-3259
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
218753
NC
208600000X
Surgery Physician
Primary
28227
MS
Other
Enumeration date
04/11/2016
Last updated
05/14/2021
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