Individual
GRANT YANAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3186 VILLAGE DR, STE 201, FAYETTEVILLE, NC 28304-3979
(910) 486-5700
(910) 486-5950
Mailing address
3186 VILLAGE DR, STE 201, FAYETTEVILLE, NC 28304-3979
(910) 486-5700
(910) 486-5950
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2010-00785
NC
2085R0202X
Diagnostic Radiology Physician
MD037935
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914285
—
NC
Enumeration date
03/24/2010
Last updated
02/09/2016
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