Provider Demographics
NPI:1851569453
Name:CHERYL H. YANUCK, MD, PC
Entity Type:Organization
Organization Name:CHERYL H. YANUCK, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:H
Authorized Official - Last Name:YANUCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-493-0406
Mailing Address - Street 1:329 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2233
Mailing Address - Country:US
Mailing Address - Phone:919-493-0406
Mailing Address - Fax:919-401-9900
Practice Address - Street 1:329 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2233
Practice Address - Country:US
Practice Address - Phone:919-493-0406
Practice Address - Fax:919-401-9900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC357932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2335880Medicare Oscar/Certification