Individual
CLINTON T YEAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 764-8290
(434) 982-1530
Mailing address
1215 LEE ST BOX 800422, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2224
(434) 982-1530
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101270939
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
08/05/2024
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