Gavan W Yates, PA
NPI #1700451655 in South Boston, Virginia
Provider Information
- NPI Number
- 1700451655
- Entity Type
- Individual
- Name
- Gavan W Yates, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- May 24, 2021
- Last Updated
- Jul 22, 2022
Practice Location
- Address
- 2232 WILBORN AVE STE C
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-1662
- Phone
- (434) 517-3910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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