Search › Georgia › 363L00000X
Travis Young, NP-C
NPI 1750779039 · on the registry since 2015
Practice
- Address
- 114 Northpark Dr
Brunswick, GA 31520 - Phone
- (912) 268-4471
- Fax
- (912) 771-8053
Additional practice sites
- 3008 E Park Ave, Brunswick, GA
- 103 Winding Rd, Kingsland, GA
- 1007 S Macon St, Jesup, GA
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LF0000X
- Licence states on file
- MO, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-26
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