Derrick York

NPI #1639050156 in Martinez, Georgia

Provider Information

NPI Number: 1639050156
Entity Type: Individual
Name: Derrick York
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 10, 2025
Last Updated: Sep 10, 2025

Practice Location

Address: 4210 COLUMBIA RD STE 13B
City: Martinez
State: Georgia
ZIP Code: 30907-0445
Phone: (706) 496-2856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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