Philip Young
Specialist/Technologist, Athletic Trainer in Acworth, GA. Individual provider (NPI-1).
NPI number1396192563
StatusActive
Last updated in NPPESMay 18, 2016
Details
- NPI
- 1396192563
- Entity type
- Individual (NPI-1)
- Name
- Philip Young
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 18, 2016
- Last updated
- May 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT001847 | GA | Yes |
Practice location
4841 Lake Park LaneAcworth, GA 30101
Phone 470-578-4772
Mailing address
4841 Lake Park LaneAcworth, GA 30101
Phone 470-578-4772
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All 10 Athletic Trainer providers in Acworth · All 1,233 providers in Acworth
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