Provider Demographics
NPI:1598075020
Name:YERKES, CARRIE E (PA-C)
Entity Type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:E
Last Name:YERKES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1258 MANN DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-5547
Mailing Address - Country:US
Mailing Address - Phone:704-847-2022
Mailing Address - Fax:704-847-1830
Practice Address - Street 1:1258 MANN DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-5547
Practice Address - Country:US
Practice Address - Phone:704-847-2022
Practice Address - Fax:704-847-1830
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-02488363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant