Ellen Young PA-C

NPI 1205161957 - Physician Assistant - 363A00000X

NPI Details
NPI 1205161957
Gender Female
Enumeration Date 10/14/2009
Last Updated 09/29/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
764 SACO LOWELL RD
EASLEY SC, 29640-3880, US
Phone (864) 855-5525
Fax (864) 855-5440
Business Location
764 SACO LOWELL RD
EASLEY SC, 29640-3880, US
Phone (864) 855-5525
Fax (864) 855-5440
Toxanomy
Taxonomy Code 363A00000X
License State South Carolina
License Number 1477
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According to our database, Ellen Young PA-C NPI is 1205161957, taxonomy code is 363A00000X and license number is 1477, license state is located at South Carolina. Ellen Young PA-C physically located at 764 Saco Lowell Rd, Easley SC, 29640-3880. NPI Number Ellen Young PA-C has the Individual type.

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1205161957 NPI number is provided on an as is basis without warranty of any kind. 1205161957 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen Young PA-C are for informational purposes only.