Individual
TAMMY H YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1227 N STATE ST, STE 101, JACKSON, MS 39202-2002
(601) 355-2485
(601) 353-1463
Mailing address
1227 N STATE ST, STE 101, JACKSON, MS 39202-2002
(601) 355-2485
(601) 353-1463
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
14971
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000125697
—
MS
01
—
7435369
AETNA HEALTHCARE
—
Enumeration date
06/10/2005
Last updated
12/08/2022
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