Individual
KATHERINE DIANE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP C
Contact information
Practice address
4181 HOSPITAL DR NE STE 401, COVINGTON, GA 30014-2541
(404) 778-1153
Mailing address
4340 LAKESIDE BLVD, MONROE, GA 30655-7908
(770) 596-4986
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
FO1180184
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN185371
GA
Other
Enumeration date
03/26/2018
Last updated
08/27/2021
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