MEDICARE: CHRISTOPHER A. YEAKEL 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
1	207L00000X	Anesthesiology Physician	12877	SC
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	12877	SC

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	:	1598734246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER A. YEAKEL MD

Provider Business Mailing Address
First Line	:	PO BOX 60314
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0314
Country	:	US
Telephone Number	:	803-765-1838
Fax Number	:	803-765-1732

Provider Business Practice Location Address
First Line	:	5 RICHLAND MEDICAL PARK
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29202
Country	:	US
Telephone Number	:	803-765-1838
Fax Number	:	803-765-1732

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

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	11/22/2013

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