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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GAVAN W YATES, PA

Active Sole Proprietor

GAVAN W YATES, PA is a Physician Assistant healthcare provider located in SOUTH BOSTON, Virginia. NPI 1700451655 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SOUTH BOSTON, VA

Registration Details

NPI Number
1700451655
Provider Type
Individual
Gender
Male
NPI Issued
May 24, 2021 (5.217541335844 yrs)
Last Updated
Jul 22, 2022
License
0110008467 (VA)
Sole Proprietor
Yes

Practice Information

Address
2232 WILBORN AVE STE C
SOUTH BOSTON, VA, 245921662
Browse VA providers · Browse ZIP 24592
Phone
4345173910
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SOUTH BOSTON, VA

Name Credential NPI
JENNIFER N BOHANON 1316954597
JOSEPH MICHAEL COMPTON 1023025202
BARRY DODD MCCORMICK PA-C 1952492076
MR. CHRISTOPHER CHARLES KEMP P.A. 1235388125
MRS. JENILEE ROSE FOSTER P.A. 1861641540
MR. DUSTIN B ALLEN P.A. 1457646861
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.