Individual
DR. HOLLY EYLER-YEATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1106 ANNAPOLIS RD, SUITE 310, ODENTON, MD 21113-1637
(410) 874-1400
(410) 874-1411
Mailing address
31 ROBINSON RD, SEVERNA PARK, MD 21146-2841
(410) 544-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0065208
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11653101
CAQH NUMBER
MD
Enumeration date
01/10/2007
Last updated
11/26/2018
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