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SUZANNE YOUNG APRN, WHNP-BC, CDE
Primary Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1942353644
Individual Registrant: SUZANNE YOUNG APRN, WHNP-BC, CDE
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
772 MADDOX DR STE 122 EAST ELLIJAY, GA 30540-8196 US
Tel: 706-635-6898 Fax: 706-635-6885
Tel: 706-635-6898 Fax: 706-635-6885
Contact information for business:
165 BLUE RIDGE OVERLOOK BLUE RIDGE, GA 30513-4431 US
Tel: 706-946-5608 Fax: 706-374-7628
Tel: 706-946-5608 Fax: 706-374-7628
Registration Information:
NPI: 1942353644
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Primary Care | GA | R080340 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
