MEDICARE: YAUNTE DVINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246YC3302X	Physician Office Based Coding Specialist

General Provider Information

NPI Number	:	1285276055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAUNTE DVINE

Provider Business Mailing Address
First Line	:	40 MACON ST STE D
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-3233
Country	:	US
Telephone Number	:	678-722-3357
Fax Number	:	678-831-3554

Provider Business Practice Location Address
First Line	:	40 MACON ST STE D
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30253-3233
Country	:	US
Telephone Number	:	678-722-3357
Fax Number	:	678-831-3554

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2019
Last Update Date	:	10/14/2019

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Directions to “ YAUNTE DVINE ” Practice Location

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