Individual
MICHELLE A. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 MAPLE ST W, HAMPTON, SC 29924
(803) 943-3813
(803) 943-5971
Mailing address
201 SIGMA DR STE 100, SUMMERVILLE, SC 29486-7722
(803) 943-3813
(803) 943-5971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2879
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3610PA
—
SC
Enumeration date
04/03/2018
Last updated
06/13/2018
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