NPI 1417190901

Jin Soon Yeoh, MD

Practitioner Urology Physician Lawrenceville, GA

Practice location

Address: 631 Professional Dr STE 490, Lawrenceville, GA 30046-3370
Phone: (770) 995-0424
Fax: (770) 513-7334
Mailing address: 1930 Brannan Rd, McDonough, GA 30253-4310

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 72519 (GA)

Other Urology providers in Georgia →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence A118495 (CA)

Registry record

NPI: 1417190901
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2009
Record last updated: 17 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.