Provider Demographics
NPI:1205817947
Name:TAI, YU-YONG (MD)
Entity Type:Individual
Prefix:DR
First Name:YU-YONG
Middle Name:
Last Name:TAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 VIKING DRIVE
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501
Mailing Address - Country:US
Mailing Address - Phone:205-221-5714
Mailing Address - Fax:205-221-5445
Practice Address - Street 1:2401 VIKING DR
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-6154
Practice Address - Country:US
Practice Address - Phone:205-221-5714
Practice Address - Fax:205-221-5445
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8722207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine