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Contact Information

PHILIP YOUNG
4841 LAKE PARK LANE
ACWORTH, GA30101
 Phone: 470-578-4772
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for PHILIP YOUNG · (Male)

NPI # 1396192563
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2016
Last updated 05/18/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # AT001847
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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