Individual
EDWARD BOOTH YELLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 SAINT MARYS ST, FOUTH FLOOR, RALEIGH, NC 27605-1276
(919) 828-0890
Mailing address
1300 SAINT MARYS ST, FOUTH FLOOR, RALEIGH, NC 27605-1276
(919) 828-0890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21619
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21619
STATE MEDICAL LICENSE
NC
Enumeration date
08/17/2006
Last updated
03/07/2023
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