Provider Demographics
NPI:1952761876
Name:YEOH, JANE CHIN WYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:CHIN WYNN
Last Name:YEOH
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 1:6726 NORTH QUAIL HOLLOW ROAD
Mailing Address - Street 2:APARTMENT 2
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-8859
Mailing Address - Country:US
Mailing Address - Phone:901-518-4646
Mailing Address - Fax:
Practice Address - Street 1:1400 SOUTH GERMANTOWN ROAD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138
Practice Address - Country:US
Practice Address - Phone:901-518-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-04
Last Update Date:2016-11-18
Deactivation Date:2016-10-21
Deactivation Code:
Reactivation Date:2016-11-18
Provider Licenses
StateLicense IDTaxonomies
ZZ27935207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery