Provider Demographics
NPI:1891834149
Name:YORK, DEBORAH S (ARPN)
Entity Type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:S
Last Name:YORK
Suffix:
Gender:F
Credentials:ARPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 SANDY DUNES
Mailing Address - Street 2:UNIT # 2
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721
Mailing Address - Country:US
Mailing Address - Phone:706-259-5077
Mailing Address - Fax:706-278-3884
Practice Address - Street 1:800 PROFESSIONAL BLVD
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-2536
Practice Address - Country:US
Practice Address - Phone:706-226-5446
Practice Address - Fax:706-278-3884
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN061087363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner