Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick York

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639050156

Derrick York is a Student in an Organized Health Care Education/Training Program in Martinez, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4210 Columbia Rd Ste 13B
Martinez, GA 30907-0445
Phone: (706) 496-2856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1639050156
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address1516 Bowdoin Dr Apt 1516, Augusta, GA 30909-4510

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