Young, Stephanie P

Young, Stephanie P is an individual health care provider with primary practice located at 117 West Northside Drive , Valdosta GA 31602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Young, Stephanie P can be contacted via phone (229) 242-6061.

Contact Information

Primary practice address
117 West Northside Drive Valdosta GA 31602
Phone: (229) 242-6061
Fax: (229) 242-6151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004092 Georgia

Profile Details

NPI number 1851329155
LBN Legal business name Young, Stephanie P
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Oct 3rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851329155 NPPES
Georgia MEDICAID 340568313B
Georgia MEDICAID 340568313D

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