Individual provider · Type 1 NPI
Sage Laurel Young
Student in an Organized Health Care Education/Training Program · Blackshear, GA
NPI number
1538043179
Active
Practice location
4689 Alabaha Woods Dr
Blackshear, GA 31516-8462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1538043179
Sage Laurel Young's National Provider Identifier is 1538043179, issued on Aug 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Blackshear, GA. The record was last updated on Aug 5, 2025.