Healthcare Provider Details

I. General information

NPI: 1750045910
Provider Name (Legal Business Name): ANDREW DAVID YEAGER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 WES WALKER MEMORIAL DR STE 200
BALL GROUND GA
30107-6522
US

IV. Provider business mailing address

145 WES WALKER MEMORIAL DR STE 200
BALL GROUND GA
30107-6522
US

V. Phone/Fax

Practice location:
  • Phone: 770-407-6898
  • Fax:
Mailing address:
  • Phone: 770-940-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR010641
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: