Basic Information
| Provider Information | |||||||||
| NPI: | 1043576747 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | YEH | ||||||||
| FirstName: | JUDY | ||||||||
| MiddleName: | Y | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 PLANTATION RIDGE DR | ||||||||
| Address2: | |||||||||
| City: | AMERICUS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 317095283 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2294746933 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2701 MEREDYTH DR | ||||||||
| Address2: | |||||||||
| City: | ALBANY | ||||||||
| State: | GA | ||||||||
| PostalCode: | 31707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2298837010 | ||||||||
| FaxNumber: | 2294354022 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2012 | ||||||||
| LastUpdateDate: | 04/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VF0040X | 81958 | GA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 55020 | CT | N | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Female Pelvic Medicine and Reconstructive Surgery | 207V00000X | 081958 | GA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.