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Individual

DR. HEMANT K. YAGNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
404 TOWN PARK BOULEVARD, SUITE 101, EVANS, GA 30809
(706) 922-7246
Mailing address
404 TOWN PARK BOULEVARD, SUITE 101, EVANS, GA 30809
(706) 922-7246

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
055321
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
558 441 890 B
GA
Enumeration date
09/16/2006
Last updated
07/01/2010
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