Dr Holly Eyler-yeatman Pc - Primary Care Clinic/Center in Severna Park, Maryland | ProviderWire

Legal Business Name

Dr Holly Eyler-yeatman Pc

NPI Number

1447377833

NPI Type

Organization

Enumeration Date

03/23/2007

Specialties

(Taxonomies)

Name

Primary Care Clinic/Center

Code

261QP2300X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

D0065208

Contact
Information

Purpose

Mailing

Location

Address

31 ROBINSON RD

31 ROBINSON RD

City

Severna Park

Severna Park

State

MD

MD

Postal Code

21146-2841

21146-2841

Country

US

US

Telephone Number

(410) 544-5900

(410) 544-5900

Authorized Official

Name

Holly Yeatman

Title or Position

SECRETARY

Telephone Number

(410) 544-5900

Identifiers

Identifier

11653101

Identifier State

MD

Identifier Issuer

CAQH

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/04/2007

Provider Address

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