Individual
MARYN HAYWARD DEYOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
200 E PONCE DE LEON AVE STE 110, DECATUR, GA 30030-3467
(404) 501-6363
Mailing address
200 E PONCE DE LEON AVE STE 110, DECATUR, GA 30030-3467
(404) 501-6363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11451
GA
Other
Enumeration date
07/10/2022
Last updated
07/13/2026
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