Young, Alvin Fred
Young, Alvin Fred is an individual health care provider with primary practice located at 1305 Jennings Mill Rd Ste 220 , Watkinsville GA 30677-7241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Young, Alvin Fred can be contacted via phone (706) 552-1800.Contact Information
Primary practice address
1305 Jennings Mill Rd Ste 220
Watkinsville GA 30677-7241
Phone: (706) 552-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 032092 | Georgia |
Profile Details
| NPI number | 1245290311 |
|---|---|
| LBN Legal business name | Young, Alvin Fred |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Nov 9th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245290311 | NPPES |
| Georgia | MEDICAID | 00397416A |
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