Individual
MR. JONATHAN JOEL YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1101 BOWMAN RD, MT PLEASANT, SC 29464-3213
(843) 552-4240
(843) 552-4121
Mailing address
PO BOX 50520, SUMMERVILLE, SC 29485-0520
(843) 552-4240
(843) 552-4121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1686
SC
363A00000X
Physician Assistant
5601005796
MI
Other
Enumeration date
06/30/2010
Last updated
03/15/2013
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