CHARLES D YEARTY

CARROLLTON, GA
NPI1275582538
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-037195)
Enumeration Date2006-05-06
Last Update Date2010-07-01
Business Address
-- CHARLES D YEARTY CRNA
705 DIXIE ST
CARROLLTON, GA 30117-3818
Phone number: 770-836-9666
Mailing Address
-- CHARLES D YEARTY CRNA
POST OFFICE BOX 235019
MONTGOMERY, AL 36177-8045
Phone number: 770-812-5730
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