Individual
CAYLEN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 DUTCH FORK ROAD, BALLENTINE, SC 29002-0568
(803) 749-1666
Mailing address
1330 DUTCH FORK ROAD, BALLENTINE, SC 29002-0568
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22338
SC
Other
Enumeration date
10/22/2018
Last updated
11/06/2018
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