Individual
MR. DANIEL M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2011 COMMERCE DR N STE 25, PEACHTREE CITY, GA 30269-3538
(844) 994-6633
(470) 235-1861
Mailing address
2011 COMMERCE DR N STE 25, PEACHTREE CITY, GA 30269-3538
(844) 994-6633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005016
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825860677A
—
GA
05
—
825860677B
—
GA
05
—
825860677C
—
GA
Enumeration date
12/02/2006
Last updated
04/09/2024
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