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NPI Code Detail

MEDICARE: JOYCELYN WILLIAMS YATES

MEDICARE: JOYCELYN WILLIAMS YATES
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1689786360
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCELYN WILLIAMS YATES
Provider Business Mailing Address
First Line : 204 N WESTOVER BLVD
Second Line :
City : ALBANY
State : GA
Zip : 31707-2983
Country : US
Telephone Number : 229-888-6559
Fax Number : 229-436-4107
Provider Business Practice Location Address
First Line : 1300 NEWTON RD
Second Line :
City : ALBANY
State : GA
Zip : 31701-3424
Country : US
Telephone Number : 229-431-3120
Fax Number : 229-431-3345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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Directions to “ JOYCELYN WILLIAMS YATES ” Practice Location

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