MEDICARE: DR. JULIA KAY WHITLOW YARAHUAN 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	208000000X	Pediatrics Physician	286903	MA
2	208000000X	Pediatrics Physician	S1311	TX

General Provider Information

NPI Number	:	1417319203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA KAY WHITLOW YARAHUAN M.D.

Provider Business Mailing Address
First Line	:	1405 CLIFTON ROAD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30332-0001
Country	:	US
Telephone Number	:	404-785-5437
Fax Number	:

Provider Business Practice Location Address
First Line	:	1405 CLIFTON ROAD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30332-5724
Country	:	US
Telephone Number	:	404-785-5437
Fax Number	:

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

Provider Enumeration Date	:	03/22/2016
Last Update Date	:	05/29/2024

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