Basic Information
Provider Information
NPI: 1831112960
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SATTERWHITE
FirstName: YVONNE
MiddleName: EDITH
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6335 HOSPITAL PKWY
Address2: SUITE 302
City: JOHNS CREEK
State: GA
PostalCode: 300971549
CountryCode: US
TelephoneNumber: 4045754500
FaxNumber: 4045754555
Practice Location
Address1: 6335 HOSPITAL PKWY
Address2: SUITE 302
City: JOHNS CREEK
State: GA
PostalCode: 300971549
CountryCode: US
TelephoneNumber: 4045754500
FaxNumber: 4045754555
Other Information
ProviderEnumerationDate: 07/26/2006
LastUpdateDate: 03/04/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/04/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X034704GAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
000813601E05GA MEDICAID


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