Provider Demographics
NPI:1710566989
Name:YEBOAH, BETTIE AFRIYIE (MD)
Entity Type:Individual
Prefix:DR
First Name:BETTIE
Middle Name:AFRIYIE
Last Name:YEBOAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 LEE ST.
Mailing Address - Street 2:MAIL STOP 800904
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-0816
Mailing Address - Country:US
Mailing Address - Phone:434-982-1018
Mailing Address - Fax:434-924-9492
Practice Address - Street 1:1215 LEE ST.
Practice Address - Street 2:MAIL STOP 800904
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0816
Practice Address - Country:US
Practice Address - Phone:434-982-1018
Practice Address - Fax:434-924-9492
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program