| Doctor Name: | MELANIE S YOUNG |
| NPI Number: | 1679855134 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | RN113728 |
| Business Practice Address: | 105 E Tollison St Suite D Baxley, GA - 315130149 |
| Business Phone Number: | 9123669688 |
| Business Fax Number: | 9123669888 |
| Mailing Address: | Po Box 2070, BAXLEY |
| State: | GA |
| Postal Code: | 315152070 |
| Phone Number: | 9123679841 |
| Fax Number: | 9123677203 |
| NPI Enumeration Date: | 09/12/2011 |
| NPI Last Update Date: | 09/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN113728 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |