NPI 1003509613

Uranius Young

Practitioner Driver Douglasville, GA

Practice location

Address: 7193 Douglas Blvd STE 206, Douglasville, GA 30135-1540
Phone: (404) 839-4457
Mailing address: 4655 Rising Fawn Dr, Douglasville, GA 30135-8946

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 054945125 (GA)

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Registry record

NPI: 1003509613
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 May 2023
Record last updated: 30 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.