Individual
MRS. CHARLOTTE TIPPETT YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342-1605
(770) 295-9398
Mailing address
1101 COLLIER RD NW UNIT F6, ATLANTA, GA 30318-8283
(770) 295-9398
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11149
GA
Other
Enumeration date
04/13/2021
Last updated
11/07/2024
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