Most Relevant Information
Provider Data
| NPI Number: | 1003508276 |
| Provider Name: | SAVANNAH YOUNG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/24/2023 |
| Last Updated: | 06/30/2023 |
Provider Practice Location
1609 NORMAN DR STE B
VALDOSTA
GA
316013753
Practice Location Phone/Fax
| Phone: | 2292694607 |
| Fax: |
Provider Mailing Location
440 W 30TH ST
RIVIERA BEACH
FL
334043712
Provider Mailing Phone/Fax
| Phone: | 5613581570 |
| Fax: |