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NPI Code Detail

MEDICARE: MAKENZI YOUNG

MEDICARE:   MAKENZI  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
1163WC0200XCritical Care Medicine Registered Nurse68775ID

General Provider Information

NPI Number : 1801644489
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAKENZI YOUNG
Provider Business Mailing Address
First Line : 224 SAWYER CIR UNIT 1122
Second Line :
City : CHARLESTON
State : SC
Zip : 29492-8652
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 224 SAWYER CIR UNIT 1122
Second Line :
City : CHARLESTON
State : SC
Zip : 29492-8652
Country : US
Telephone Number : 541-216-1447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2024
Last Update Date : 05/09/2024

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Directions to “ MAKENZI YOUNG ” Practice Location

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