Individual
DERYKAH YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4318 BRANDONSHIRE LN, VALDOSTA, GA 31605-7010
(229) 854-8371
Mailing address
4318 BRANDONSHIRE LN, VALDOSTA, GA 31605-7010
(229) 854-8371
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/07/2019
Last updated
12/07/2019
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