Individual
DR. JESSE GRAHAM YARBOROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 GAMBLE DR, LINCOLNTON, NC 28092-4421
(704) 735-3071
(704) 735-0584
Mailing address
PO BOX 36351, CHARLOTTE, NC 28236-6351
(704) 377-5772
(704) 377-3389
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8989673
—
NC
Enumeration date
10/10/2005
Last updated
08/08/2008
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