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NPI Code Detail

MEDICARE: NEKITIA YOUNG

MEDICARE: NEKITIA YOUNG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1740117399
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEKITIA YOUNG
Provider Business Mailing Address
First Line : 919 LAWYERS LN
Second Line :
City : COLUMBUS
State : GA
Zip : 31906-3129
Country : US
Telephone Number : 706-256-3200
Fax Number : 706-317-2177
Provider Business Practice Location Address
First Line : 919 LAWYERS LN
Second Line :
City : COLUMBUS
State : GA
Zip : 31906-3129
Country : US
Telephone Number : 706-256-3200
Fax Number : 706-317-2177
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ NEKITIA YOUNG ” Practice Location

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