Individual
CALLIE BRAGG YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 WILLIAMS AVE SW STE 1421, HUNTSVILLE, AL 35801-6008
(256) 536-4448
(256) 518-9073
Mailing address
303 WILLIAMS AVE SW STE 1421, HUNTSVILLE, AL 35801-6008
(256) 536-4448
(256) 518-9073
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3730
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4565PA
—
SC
05
—
A19535A
—
AL
Enumeration date
01/19/2021
Last updated
10/05/2023
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