Organization
EVOLUTIO WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIQUE YOUNG FNP-C (OWNER)
(770) 910-6826
Entity
Organization
Contact information
Practice address
1325 ROCK QUARRY RD STE 100, STOCKBRIDGE, GA 30281-5029
(770) 389-0566
Mailing address
160 GLEN EAGLE WAY, MCDONOUGH, GA 30253-4227
(770) 910-6826
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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