Individual
DR. WILLIAM M YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
526 NORTH ST, BAMBERG, SC 29003-1319
(803) 245-2433
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3250
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
8110
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081100
—
SC
01
—
8110
MEDICAL LICENSE
SC
01
—
SCA978
MEDICARE
SC
Enumeration date
10/17/2006
Last updated
01/11/2024
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