Provider Demographics
NPI:1215391362
Name:YARNALL, JAMES NATHAN (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:NATHAN
Last Name:YARNALL
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 1:4750 WATERS AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6267
Mailing Address - Country:US
Mailing Address - Phone:912-350-5646
Mailing Address - Fax:912-350-7690
Practice Address - Street 1:4750 WATERS AVE STE 103
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6267
Practice Address - Country:US
Practice Address - Phone:912-350-5646
Practice Address - Fax:912-350-7690
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GA835082080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program