Individual provider · Type 1 NPI
Derrick York
Student in an Organized Health Care Education/Training Program · Martinez, GA
NPI number
1639050156
Active
Practice location
4210 Columbia Rd Ste 13B
Martinez, GA 30907-0445
Mailing address
1516 Bowdoin Dr Apt 1516
Augusta, GA 30909-4510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
2 other providers at this address
Other student in an organized health care education/training program providers in Martinez
About NPI 1639050156
Derrick York's National Provider Identifier is 1639050156, issued on Sep 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Martinez, GA. The record was last updated on Sep 10, 2025.