Provider Demographics
NPI:1467442103
Name:YELTON, PATTY B (CNM)
Entity Type:Individual
Prefix:MS
First Name:PATTY
Middle Name:B
Last Name:YELTON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 CAMPBELL HILL ST STE 400
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1133
Mailing Address - Country:US
Mailing Address - Phone:770-528-0260
Mailing Address - Fax:770-528-0269
Practice Address - Street 1:833 CAMPBELL HILL ST NW STE 400
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1147
Practice Address - Country:US
Practice Address - Phone:770-528-0260
Practice Address - Fax:770-528-0269
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN135168367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife