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Individual

JORDAN WEBB YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
100 KNOTBREAK RD, SALEM, VA 24153-5414
(540) 444-5670
Mailing address
2041 NORTHSHIRE DR, TUPELO, MS 38804-7020

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005899
VA

Other

Enumeration date
02/03/2016
Last updated
05/16/2024
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