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Individual

PETER YEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3675 J DEWEY GRAY CIR STE 300, AUGUSTA, GA 30909
(706) 863-9595
(706) 868-8375
Mailing address
PO BOX 3726, AUGUSTA, GA 30914-3726
(706) 863-9595
(706) 868-8375

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09949
NC
363A00000X
Physician Assistant
0110007148
VA
363A00000X
Physician Assistant
022719-01
NY
363A00000X
Physician Assistant
311887
LA
363A00000X
Physician Assistant
Primary
9576
GA
363A00000X
Physician Assistant
PA.768
AL
363A00000X
Physician Assistant
PA0000004411
TN
363A00000X
Physician Assistant
PA03200
TX
363A00000X
Physician Assistant
PA2204
NV
363A00000X
Physician Assistant
PA9112748
FL

Other

Enumeration date
05/04/2006
Last updated
05/06/2022
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