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Individual

TRAVIS A YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
114 NORTHPARK DR, BRUNSWICK, GA 31520-2184
(912) 268-4471
(912) 771-8053
Mailing address
3008 E PARK AVE, BRUNSWICK, GA 31520-4241
(912) 265-2142
(912) 265-0530

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN274244
GA
363LF0000X
Family Nurse Practitioner
2014039709
MO

Other

Enumeration date
01/08/2015
Last updated
04/26/2018
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