IndividualActive
Aga Young, WELLNESSPRACTITIONER
NPI 1790491355 · Public Health & General Preventive Medicine Physician · Terry, MS
Provider details
- NPI number
- 1790491355
- Entity type
- Individual
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- WELLNESSPRACTITIONER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3322-4030 (MS)
Mailing address
3072 Little Rock Rd
Crystal Springs, MS 39059-9558
Registry dates
- Enumerated
- 2023-01-26
- Last updated
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.