Search › Georgia › 208600000X
Mio Yanagisawa
NPI 1376955831 · on the registry since 2014
Practice
- Address
- 1279 Highway 54 W Ste 100
Fayetteville, GA 30214 - Phone
- (770) 719-5710
- Organisation at this address
- Dva Renal Healthcare Inc
Women'S Community Care, Pc
Georgia Cancer Specialists I Pc
Southern Crescent Women'S Healthcare PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Additional practice sites
- 1365 Clifton Rd Ne Bldg C, Atlanta, GA
- 450 S Washington St, Gettysburg, PA
- 22 St Paul Dr Ste 207, Chambersburg, PA
- 2315 Stockton Blvd, Sacramento, CA
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 208600000X
390200000X - Licence states on file
- GA, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia