Doctor Name: | RACHEL HINSON YOUNGBLOOD |
NPI Number: | 1033405477 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 5960 |
Business Practice Address: | 368 Northside Drive E Statesboro, GA - 304584939 |
Business Phone Number: | 9124896246 |
Business Fax Number: | 9124896346 |
Mailing Address: | 5400 Sutlive St, SAVANNAH |
State: | GA |
Postal Code: | 314054721 |
Phone Number: | 9123546187 |
Fax Number: | 9123559807 |
NPI Enumeration Date: | 06/23/2011 |
NPI Last Update Date: | 12/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 5960 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |