Yates-Davis, Heather Dana
Yates-Davis, Heather Dana is an individual health care provider with primary practice located at 110 W Medical Park Dr , Lexington NC 27292-6773. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Yates-Davis, Heather Dana can be contacted via phone (336) 248-8692.Contact Information
Primary practice address
110 W Medical Park Dr
Lexington NC 27292-6773
Phone: (336) 248-8692
Fax: (336) 249-7348
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 103128 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 103128 | North Carolina |
Profile Details
NPI number | 1811964398 |
---|---|
LBN Legal business name | Yates-Davis, Heather Dana |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2006 |
Last updated | Nov 10th, 2022 - about 3 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 | 1811964398 | NPPES |
North Carolina | MEDICAID | 8101707 | |
North Carolina | Other | 103128 |
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