Individual
AMY B. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
213 W 4TH NORTH ST, SUMMERVILLE, SC 29483-6541
(843) 873-0681
(843) 873-8749
Mailing address
201 SIGMA DR, STE. 100, SUMMERVILLE, SC 29486-7715
(843) 873-1720
(843) 873-1108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3891
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1429
—
SC
01
—
P00871891
RR MEDICARE
SC
Enumeration date
05/05/2009
Last updated
08/30/2016
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