Individual
AMRITA YEARWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 EDWINA ST, EVERGREEN, AL 36401-3319
(251) 578-0278
(251) 578-0290
Mailing address
100 EDWINA ST, EVERGREEN, AL 36401-3319
(251) 578-0278
(251) 578-0290
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21847
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110195840
RAILROAD MEDICARE
—
01
—
21847
MEDICAL LICENSE
AL
05
—
631701016
—
AL
Enumeration date
02/28/2006
Last updated
05/02/2013
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