Provider Demographics
NPI:1316937477
Name:YIP, ALEX GARHOE (MD)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:GARHOE
Last Name:YIP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 603725
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-3725
Mailing Address - Country:US
Mailing Address - Phone:828-575-2625
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:1017 ASHES DR
Practice Address - Street 2:SUITE 206
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-8352
Practice Address - Country:US
Practice Address - Phone:910-239-9584
Practice Address - Fax:910-679-4086
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2023-10-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9501467207K00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1316937477Medicaid
NC2217839OtherMEDICARE PTAN
NC030003522Medicare PIN
NC2217839Medicare PIN