Provider Demographics
NPI:1154396331
Name:DREIER, YOLANDA (MD)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:DREIER
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 1:964 RIBAUT RD
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-5429
Mailing Address - Country:US
Mailing Address - Phone:843-524-5437
Mailing Address - Fax:843-524-0425
Practice Address - Street 1:964 RIBAUT RD STE 1
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-5425
Practice Address - Country:US
Practice Address - Phone:843-524-5437
Practice Address - Fax:843-524-0425
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD51391208000000X
IN01066146A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
INM400024897Medicare PIN
IN200931600Medicaid
000000681602OtherANTHEM
INM400024897Medicare PIN
FLME0054392OtherUNITED BENEFITS
FLH12648Medicare UPIN
FL44998ZMedicare ID - Type UnspecifiedMEDICARE