Young, Daniel M
Young, Daniel M is an individual health care provider with primary practice located at 2011 Commerce Dr N Ste 25 , Peachtree City GA 30269-3538. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Young, Daniel M can be contacted via phone (844) 994-6633.Contact Information
Primary practice address
2011 Commerce Dr N Ste 25
Peachtree City GA 30269-3538
Phone: (844) 994-6633
Fax: (470) 235-1861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 005016 | Georgia |
Profile Details
| NPI number | 1134297575 |
|---|---|
| LBN Legal business name | Young, Daniel M |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2006 |
| Last updated | Apr 9th, 2024 - about last year |
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 | 1134297575 | NPPES |
| Georgia | MEDICAID | 825860677A | |
| Georgia | MEDICAID | 825860677C | |
| Georgia | MEDICAID | 825860677B |
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