Provider Demographics
NPI:1083664056
Name:YAGER, JOHN G (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:G
Last Name:YAGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1720 SPRINGHILL AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-1410
Mailing Address - Country:US
Mailing Address - Phone:251-435-1200
Mailing Address - Fax:251-435-6457
Practice Address - Street 1:1720 SPRINGHILL AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1410
Practice Address - Country:US
Practice Address - Phone:251-435-1200
Practice Address - Fax:251-435-6457
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2008-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL144302084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL19374Medicaid
19374Medicare ID - Type UnspecifiedPROVIDER NUMBER
AL051538330Medicare PIN
AL19374Medicaid