Provider Demographics
NPI:1538197355
Name:YATES, NORMAN LEE III (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:LEE
Last Name:YATES
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:836 E. 65TH STREET
Mailing Address - Street 2:SUITE 22
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405
Mailing Address - Country:US
Mailing Address - Phone:912-819-7878
Mailing Address - Fax:912-819-3320
Practice Address - Street 1:11909 MCAULEY DRIVE
Practice Address - Street 2:SUITE 100 A2
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419
Practice Address - Country:US
Practice Address - Phone:912-354-8331
Practice Address - Fax:912-352-9782
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2020-05-19
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Provider Licenses
StateLicense IDTaxonomies
GA050761208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA928604424AMedicaid
GA928604424FMedicaid
GA77BBBLFMedicare UPIN