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Individual

DR. STAR YE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1521 HICKORY FLAT HWY STE 100, CANTON, GA 30115-3448
(770) 496-9430
(404) 891-4947
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35233-1900

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
96328
GA
363L00000X
Nurse Practitioner
96328
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/21/2017
Last updated
01/09/2024
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