MR. PATRICK HENRY YANCEY IV
NPI 1417372814
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since February 22, 2014
2068 WALTON WAY, APT 204, AUGUSTA, GA 30904(678) 378-7740 Get Directions Write a Review

NPPES record last updated: February 22, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Patrick Henry Yancey Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PATRICK HENRY YANCEY IV (NPI 1417372814) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1417372814
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. PATRICK HENRY YANCEY IV
Location Address2068 WALTON WAY, APT 204Augusta, GA 30904-4156
Mailing Address2068 Walton Way, Apt 204Augusta, GA 30904-4156 · (678) 378-7740
Sole ProprietorYes
Enumeration DateFebruary 22, 2014
NPI 1417372814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2068 WALTON WAY, Augusta, GA 30904

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
2068 WALTON WAY, APT. 302
AUGUSTA, GA 30904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417372814, enumerated as an "individual" on February 22, 2014.

The provider is located at 2068 WALTON WAY APT 204 AUGUSTA, GA 30904 and the phone number is (678) 378-7740.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.