SKYLAR YEAROUS NPI 1508328824

NPI Information

NPI: 1508328824
Provider Name: SKYLAR YEAROUS
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
1430 JOHN WESLEY GILBERT DRIVE
COLLEGE OF DENTAL MEDICINE PEDODONTICS - GC 2116
AUGUSTA, GA
ZIP 30901
Phone: (706) 721-9073
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Skylar Yearous is a student in an organized health care education training program in Augusta, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Skylar Yearous NPI is 1508328824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1430 JOHN WESLEY GILBERT DRIVE
COLLEGE OF DENTAL MEDICINE PEDODONTICS - GC 2116
AUGUSTA, GA
ZIP 30901
Phone: (706) 721-9073

The enumeration date for this NPI number is 4/4/2019 and was last updated on 7/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		DN015931	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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