Provider Demographics
NPI:1316953235
Name:YEAGER, ANNE KATHRYN (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:KATHRYN
Last Name:YEAGER
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3024 NEW BERN AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-1247
Mailing Address - Country:US
Mailing Address - Phone:919-350-8228
Mailing Address - Fax:919-350-7976
Practice Address - Street 1:3024 NEW BERN AVE
Practice Address - Street 2:SUITE 301 - INTERNAL MEDICINE
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1247
Practice Address - Country:US
Practice Address - Phone:919-350-7993
Practice Address - Fax:919-350-7988
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2021-03-24
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Provider Licenses
StateLicense IDTaxonomies
NC9701668207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891128FMedicaid
NC2266505AMedicare ID - Type Unspecified
G85431Medicare UPIN