Individual
KIMBERLY M YARBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 RIDGE RD, ROXBORO, NC 27573-4629
(843) 237-3378
(843) 237-5073
Mailing address
PO BOX 30727, CHARLOTTE, NC 28230-0727
(843) 237-3378
(843) 237-5073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9401100
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89684
BCBS
NC
05
—
8989684
—
NC
01
—
930087790
RAILROAD
NC
05
—
Q0110B
—
SC
Enumeration date
04/08/2006
Last updated
03/17/2009
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