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Individual

DR. EARL STEPHEN YEAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1326 EISENHOWER DR BLDG 2, SAVANNAH, GA 31406-3928
(912) 354-6303
(912) 355-8655
Mailing address
PO BOX 15849, SAVANNAH, GA 31416-2549
(912) 354-6303
(912) 355-8655

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
021614
GA
2086X0206X
Surgical Oncology Physician
021614
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000203112B
GA
01
237201
BCBS
GA
01
407023875
RR MEDICARE
GA
05
G55901
SC
Enumeration date
07/15/2005
Last updated
09/11/2020
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