Provider Demographics
NPI:1821445446
Name:YEAZELL, JOYLYN (MD)
Entity Type:Individual
Prefix:
First Name:JOYLYN
Middle Name:
Last Name:YEAZELL
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 1:1473 NC 42 43 W
Mailing Address - Street 2:
Mailing Address - City:PINETOPS
Mailing Address - State:NC
Mailing Address - Zip Code:27864-7188
Mailing Address - Country:US
Mailing Address - Phone:252-827-5231
Mailing Address - Fax:252-827-5775
Practice Address - Street 1:1473 NC 42 43 W
Practice Address - Street 2:
Practice Address - City:PINETOPS
Practice Address - State:NC
Practice Address - Zip Code:27864-7188
Practice Address - Country:US
Practice Address - Phone:252-827-5231
Practice Address - Fax:252-827-5775
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD467729207Q00000X
NC02257207Q00000X
SC83237207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine