Young, Earl Y

Young, Earl Y is an individual health care provider with primary practice located at 915 Thornton Rd , Lithia Springs GA 30122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Young, Earl Y can be contacted via phone (770) 739-9292.

Contact Information

Primary practice address
915 Thornton Rd Lithia Springs GA 30122
Phone: (770) 739-9292
Fax: (770) 948-9126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 046338 Georgia

Profile Details

NPI number 1881645661
LBN Legal business name Young, Earl Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Aug 22nd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881645661 NPPES
Georgia MEDICAID 543260909A
Georgia MEDICAID 543260909B

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