Individual
DR. JULIA ELEANOR YARAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1915 W PARK DR STE 103, NORTH WILKESBORO, NC 28659-3777
(336) 838-9553
(336) 838-9563
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013-00705
NC
208000000X
Pediatrics Physician
11013663A
IN
208000000X
Pediatrics Physician
2013-00705
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740487321
—
NC
05
—
340394
—
SC
Enumeration date
06/28/2007
Last updated
07/21/2022
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