MEDICARE: DR. YATES ALTON LENNON M.D.

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	207V00000X	Obstetrics & Gynecology Physician	98-00086	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1144297441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YATES ALTON LENNON M.D.

Provider Business Mailing Address
First Line	:	1701 WESTCHESTER DRIVE
Second Line	:	SUITE 850
City	:	HIGH POINT
State	:	NC
Zip	:	27262-7254
Country	:	US
Telephone Number	:	336-802-2400
Fax Number	:	336-802-2001

Provider Business Practice Location Address
First Line	:	237 N FAYETTEVILLE ST
Second Line	:	SUITE A
City	:	ASHEBORO
State	:	NC
Zip	:	27203-5573
Country	:	US
Telephone Number	:	336-626-6371
Fax Number	:	336-629-0436

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

Provider Enumeration Date	:	03/06/2006
Last Update Date	:	07/13/2009

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