Healthcare Provider Details

I. General information

NPI: 1346386364
Provider Name (Legal Business Name): KAREN A YEH, M.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2258 WRIGHTSBORO RD SUITE 430
AUGUSTA GA
30904-4887
US

IV. Provider business mailing address

PO BOX 3346
AUGUSTA GA
30914-3346
US

V. Phone/Fax

Practice location:
  • Phone: 706-434-0130
  • Fax: 706-434-0131
Mailing address:
  • Phone: 706-434-0130
  • Fax: 706-434-0131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number036910
License Number StateGA

VIII. Authorized Official

Name: DR. KAREN A YEH
Title or Position: OWNER
Credential: M.D.
Phone: 706-434-0130