Yates, Gavan W
Yates, Gavan W is an sole proprietor health care provider with primary practice located at 2232 Wilborn Ave Ste C , South Boston VA 24592-1662. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Yates, Gavan W can be contacted via phone (434) 517-3910.Contact Information
Primary practice address
2232 Wilborn Ave Ste C
South Boston VA 24592-1662
Phone: (434) 517-3910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110008467 | Virginia |
Profile Details
| NPI number | 1700451655 |
|---|---|
| LBN Legal business name | Yates, Gavan W |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2021 |
| Last updated | Jul 22nd, 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.
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