Individual
JORDAN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 FRIENDSHIP RD STE 100, BRASELTON, GA 30517-5608
(770) 532-7202
Mailing address
6276 ROCK PORT DR, FLOWERY BRANCH, GA 30542-4300
(770) 827-6340
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2022
Last updated
05/09/2023
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