Basic Information
| Provider Information | |||||||||
| NPI: | 1114958642 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BESSENT | ||||||||
| FirstName: | YVETTE | ||||||||
| MiddleName: | ELAINE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 601067 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282601067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7048012130 | ||||||||
| FaxNumber: | 7048012131 | ||||||||
| Practice Location | |||||||||
| Address1: | 16455 STATESVILLE RD | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | HUNTERSVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280787135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7048012130 | ||||||||
| FaxNumber: | 7048012131 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2006 | ||||||||
| LastUpdateDate: | 11/23/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 9700024 | NC | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 2234751 | 01 | NC | RAILROAD MEDICARE | OTHER | 1114958642 | 05 | NC | MEDICAID | 891019R | 05 | NC | MEDICAID | 1019R | 01 | NC | NCBCBS | OTHER |