Individual
EARL Y YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 THORNTON RD, LITHIA SPRINGS, GA 30122
(770) 739-9292
(770) 948-9126
Mailing address
915 THORNTON RD, LITHIA SPRINGS, GA 30122
(770) 739-9292
(770) 948-9126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
046338
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
543260909A
—
GA
05
—
543260909B
—
GA
Enumeration date
05/15/2006
Last updated
08/22/2011
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