Yarnall, Richard Clark

Yarnall, Richard Clark is an individual health care provider with primary practice located at 758 Old Norcross Rd Suite 100, Lawrenceville GA 30046-3385. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Yarnall, Richard Clark can be contacted via phone (770) 962-4300.

Contact Information

Primary practice address
758 Old Norcross Rd Suite 100 Lawrenceville GA 30046-3385
Phone: (770) 962-4300
Fax: (770) 339-7544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN108692 Georgia

Profile Details

NPI number 1801845482
LBN Legal business name Yarnall, Richard Clark
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Aug 19th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801845482 NPPES
Georgia MEDICAID 765304049D

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