Provider Demographics
NPI:1174585822
Name:YARGER, WILLIAM ELLSWORTH (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ELLSWORTH
Last Name:YARGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3603 FOXWOOD PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-1991
Mailing Address - Country:US
Mailing Address - Phone:919-383-3742
Mailing Address - Fax:
Practice Address - Street 1:508 FULTON ST
Practice Address - Street 2:ROOM C8017 DURHAM VAMC
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-3875
Practice Address - Country:US
Practice Address - Phone:919-286-6941
Practice Address - Fax:919-286-6873
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC17537207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology