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Shaqutto Young
NPI 1447949235 · on the registry since 2023 · sole proprietor
Practice
- Address
- 205 Lakeshore Pt
Saint Marys, GA 31558 - Phone
- (256) 496-4757
- Organisation at this address
- Gainesville Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia