Individual
CLIFTON YATES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 CENTRE ST, ORANGEBURG, SC 29115-6043
(803) 534-2220
(803) 536-3444
Mailing address
133 CENTRE ST, ORANGEBURG, SC 29115-6043
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
10457
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104577
—
SC
Enumeration date
05/23/2005
Last updated
07/08/2007
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