Yarborough, Jesse Graham
Yarborough, Jesse Graham is an individual health care provider with primary practice located at 200 Gamble Dr , Lincolnton NC 28092-4421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Yarborough, Jesse Graham can be contacted via phone (704) 735-3071.Contact Information
Primary practice address
200 Gamble Dr
Lincolnton NC 28092-4421
Phone: (704) 735-3071
Fax: (704) 735-0584
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 23170 | North Carolina |
Profile Details
NPI number | 1952399404 |
---|---|
LBN Legal business name | Yarborough, Jesse Graham |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2005 |
Last updated | Aug 8th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952399404 | NPPES |
North Carolina | MEDICAID | 8989673 |
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