Individual
NEIL CAMERON YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1635 HIGHWAY 31 NW STE C, HARTSELLE, AL 35640-4426
(256) 773-0110
(256) 773-0121
Mailing address
1635 HIGHWAY 31 NW STE C, HARTSELLE, AL 35640-4426
(256) 773-0110
(256) 773-0121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28359
AL
207Q00000X
Family Medicine Physician
L-2810
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I089894
MDCR ID
AL
05
—
112074
—
AL
01
—
1598717381
MEDICAID GROUP NPI
AL
01
—
1750503041
UNITED HEALTH CARE
—
05
—
1750503041
—
AL
01
—
529928340
MEDICAID PAYEE NUMBER
AL
01
—
E869
MEDICARE GROUP
AL
01
—
P00743306
MEDICARE RR
AL
Enumeration date
05/03/2007
Last updated
03/25/2013
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