Individual
DR. AVIS BROWN YOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 ST SEBASTIAN WAY, STE 6C, AUGUSTA, GA 30901
(706) 722-4280
(706) 722-4298
Mailing address
820 ST SEBASTIAN WAY, STE 6C, AUGUSTA, GA 30901
(706) 722-4280
(706) 722-4298
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G18612
GA
207ND0101X
MOHS-Micrographic Surgery Physician
GA18612
GA
207NS0135X
Procedural Dermatology Physician
GA18612
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070005945
RAILROAD MEDICARE
GA
Enumeration date
07/13/2006
Last updated
11/09/2015
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