MEDICARE: JIAYUE YUAN

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	2084N0400X	Neurology Physician	511201	GA

General Provider Information

NPI Number	:	1710448808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIAYUE YUAN

Provider Business Mailing Address
First Line	:	625 19TH ST S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35233-1900
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1968 PEACHTREE RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-1281
Country	:	US
Telephone Number	:	470-788-1010
Fax Number	:

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

Provider Enumeration Date	:	03/29/2019
Last Update Date	:	01/14/2026

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Directions to “ JIAYUE YUAN ” Practice Location

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