NPI 1417488834
Maxine Young
Practice location
- Address
- 7027 Swift St, Lithonia, GA 30058-4342
- Phone
- (678) 615-2158
- Fax
- (678) 550-9437
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1417488834
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Mar 2017
- Record last updated
- 27 Mar 2017
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.