Provider Demographics
NPI:1295910073
Name:YOST, JAMES A, (MD, MS, MBA)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A,
Last Name:YOST
Suffix:
Gender:M
Credentials:MD, MS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 DUNWOODY PARK
Mailing Address - Street 2:SUITE 150
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7408
Mailing Address - Country:US
Mailing Address - Phone:404-778-6920
Mailing Address - Fax:
Practice Address - Street 1:11 DUNWOODY PARK
Practice Address - Street 2:SUITE 150
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-7408
Practice Address - Country:US
Practice Address - Phone:404-778-6920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-30
Last Update Date:2007-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002233207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine