Individual
BRIAN CLAY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
638 LEE ROAD 483, OPELIKA, AL 36804-1773
(770) 547-3632
Mailing address
7351 OLD MOON RD, COLUMBUS, GA 31909-7291
(706) 653-7000
(706) 653-7800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN158039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN158039
STATE LICENSE
GA
Enumeration date
08/14/2019
Last updated
09/30/2019
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