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NPI Code Detail

MEDICARE: JINGYE YANG MD

MEDICARE: JINGYE YANG MD
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
1207Q00000XFamily Medicine Physician88218SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033850466
Entity Type Code : Individual
Provider Name (Legal Business Name) : JINGYE YANG MD
Provider Business Mailing Address
First Line : 300 SINGLETON RIDGE RD
Second Line : ATTENTION CREDENTIALING
City : CONWAY
State : SC
Zip : 29526-9142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4022 POSTAL WAY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29579-3537
Country : US
Telephone Number : 843-236-0000
Fax Number : 843-236-6191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2022
Last Update Date : 04/06/2026

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Directions to “ JINGYE YANG MD” Practice Location

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