Gavan W Yates, PA Valid NPI

Individual provider · Physician Assistant · South Boston, VA

NPI

1700451655

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

0110008467 (VA)

Sex

Male

Sole proprietor

Yes

Enumerated

2021-05-24

Last updated

2022-07-22