Individual
KOMALEATHER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 420, COLUMBIA, SC 29203-6833
(803) 434-6430
(803) 545-5353
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22460
SC
363LF0000X
Family Nurse Practitioner
Primary
22460
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5771
—
SC
Enumeration date
02/12/2019
Last updated
08/26/2025
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