Individual provider · Type 1 NPI

Ryan Austin Yenovkian, PA

Medical Physician Assistant · Gainesville, GA

NPI number 1639712847 Active

Practice location

743 Spring St NE
Gainesville, GA 30501-3715

Fax (770) 534-8025

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9577 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1639712847

Ryan Austin Yenovkian, PA's National Provider Identifier is 1639712847, issued on Oct 21, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gainesville, GA. The record was last updated on Dec 7, 2020.