Whalio Doctors

NPI 1164961629

Shannon Johnson Younger, PAC

Practitioner Medical Physician Assistant Columbus, MS

Practice location

Address
724 Leigh Dr, Columbus, MS 39705-3098
Phone
(662) 328-3375
Fax
(662) 328-3395

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA9110198 (FL)

Registry record

NPI
1164961629
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Feb 2017
Record last updated
24 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.