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Individual

DR. TOMMY EUGENE YATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
603 W ALABAMA ST, FLORENCE, AL 35630-6006
(256) 168-8340
(256) 768-9693
Mailing address
PO BOX 100559, FLORENCE, SC 29501-0559
(843) 664-4300
(843) 664-4308

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DO393
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01575874
MS
01
51078030
BCBS
AL
Enumeration date
02/23/2006
Last updated
03/03/2008
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