Individual
DERRICK YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4210 COLUMBIA RD STE 13B, MARTINEZ, GA 30907-0445
(706) 496-2856
Mailing address
1516 BOWDOIN DR APT 1516, AUGUSTA, GA 30909-4510
(678) 602-1702
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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