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Individual

DR. JOHN TYLER YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
302 COLLEGE DR, BARNESVILLE, GA 30204-1602
(770) 358-2266
(770) 358-4497
Mailing address
302 COLLEGE DR, BARNESVILLE, GA 30204-1602
(770) 358-2266
(770) 358-4497

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH030633
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1
NOT APPLICABLE
Enumeration date
10/14/2022
Last updated
10/14/2022
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