Provider Demographics
NPI:1720267230
Name:YIELDING & YIELDING, PC
Entity Type:Organization
Organization Name:YIELDING & YIELDING, PC
Other - Org Name:YIELDING FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:LERENA WADE
Authorized Official - Middle Name:HAUGE
Authorized Official - Last Name:YIELDING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-381-1411
Mailing Address - Street 1:810 S MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35660-3814
Mailing Address - Country:US
Mailing Address - Phone:256-381-1411
Mailing Address - Fax:
Practice Address - Street 1:810 S MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-3814
Practice Address - Country:US
Practice Address - Phone:256-381-1411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18616207R00000X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51045818YIEOtherBLUE CROSS/BLUE SHIELD
AL000045818Medicaid
ALF00688Medicare UPIN