Individual
MS. MARISA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
69 JESSE HILL JR DR SE, GLENN BUILDING, 4TH FLOOR - 412B, ATLANTA, GA 30303-3033
(404) 251-8812
Mailing address
69 JESSE HILL JR DR SE, GLENN BUILDING, 4TH FLOOR - 412B, ATLANTA, GA 30303-3033
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
83692
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
12/11/2020
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