Healthcare Provider Details

I. General information

NPI: 1538163142
Provider Name (Legal Business Name): FRANK YUN-PU YANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

845 WILLIAM HILTON PKWY
HILTON HEAD SC
29928-3404
US

IV. Provider business mailing address

PO BOX 749306
ATLANTA GA
30374-9306
US

V. Phone/Fax

Practice location:
  • Phone: 843-341-2416
  • Fax: 843-341-2417
Mailing address:
  • Phone: 843-341-2416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number33171
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD33171
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0000-28821
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: