Provider Demographics
NPI:1487763454
Name:YATES, CHRISTOPHER J (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:YATES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:146 MEDICAL PARK RD
Mailing Address - Street 2:STE 108
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-8529
Mailing Address - Country:US
Mailing Address - Phone:704-662-0877
Mailing Address - Fax:704-662-0875
Practice Address - Street 1:131 MEDICAL PARK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8522
Practice Address - Country:US
Practice Address - Phone:704-662-0877
Practice Address - Fax:704-662-0875
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NC128383207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1397NOtherBCBS
NC5902026Medicaid
NC5902026Medicaid
NC1397NOtherBCBS
NCBY9335185OtherDEA