Provider Demographics
NPI:1114354347
Name:YARBER, TERESA Y (EDD)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:Y
Last Name:YARBER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 26925
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31221-6925
Mailing Address - Country:US
Mailing Address - Phone:478-538-7597
Mailing Address - Fax:
Practice Address - Street 1:913 JUNIPER LN
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31220-7653
Practice Address - Country:US
Practice Address - Phone:478-538-7597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA249120171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator