Provider Demographics
NPI:1962421917
Name:YEARGAN, SHERMAN AUSTIN III (MD)
Entity type:Individual
Prefix:DR
First Name:SHERMAN
Middle Name:AUSTIN
Last Name:YEARGAN
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:5725 OLEANDER DR
Mailing Address - Street 2:UNIT E, BLDG. 4
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-4724
Mailing Address - Country:US
Mailing Address - Phone:910-769-7878
Mailing Address - Fax:910-769-8967
Practice Address - Street 1:5725 OLEANDER DR
Practice Address - Street 2:UNIT E, BLDG. 4
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4724
Practice Address - Country:US
Practice Address - Phone:910-769-7878
Practice Address - Fax:910-769-8967
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-06-07
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Provider Licenses
StateLicense IDTaxonomies
NC200601004207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8870075OtherCIGNA HEALTHCARE
NC5905103Medicaid
NC143JTOtherBCBS OF NORTH CAROLINA
NC6201340001OtherDMERC JURISDICTION C
NC0901492OtherUNITED HEALTHCARE
NC0901492OtherUNITED HEALTHCARE
NC6201340001OtherDMERC JURISDICTION C