Individual
MS. G. DALE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
565 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4308
(770) 995-5131
Mailing address
565 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4308
(770) 995-5131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
046139
GA
Other
Enumeration date
08/05/2006
Last updated
08/11/2014
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