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NPI Code Detail

MEDICARE: CHARLES C YUE MD

MEDICARE:   CHARLES C YUE  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
1207L00000XAnesthesiology Physician0101237867VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
194176OTHERVAOPTIMA SENTARA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3067TWOTHERNCBC BS OF NORTH CAROLINA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5176951OTHERVAANTHEM OF VIRGINIA

General Provider Information

NPI Number : 1275536112
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES C YUE MD
Provider Business Mailing Address
First Line : 2430 EMERALD PL STE 201
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5743
Country : US
Telephone Number : 252-752-2140
Fax Number : 252-565-8463
Provider Business Practice Location Address
First Line : 2430 EMERALD PL STE 201
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5743
Country : US
Telephone Number : 252-752-2140
Fax Number : 252-565-8463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 06/02/2022

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Directions to “ CHARLES C YUE MD” Practice Location

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