Individual
MR. JACOB HOLDEN YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1800 ORLEANS STREET, BALTIMORE, MD 21287
(410) 955-5000
(410) 502-2967
Mailing address
53 NORTHWOOD DRIVE, TIMONIUM, MD 21093
(443) 761-0369
(443) 589-1673
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
C05524
MD
363A00000X
Physician Assistant
Primary
C05524
MD
Other
Enumeration date
10/09/2014
Last updated
09/21/2018
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