Young, Mikaela Rose
Young, Mikaela Rose is an individual health care provider with primary practice located at 5582 Memorial Dr , Stone Mountain GA 30083-3215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Young, Mikaela Rose can be contacted via phone (404) 298-8998.Contact Information
Primary practice address
5582 Memorial Dr
Stone Mountain GA 30083-3215
Phone: (404) 298-8998
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 11428 | Georgia |
Profile Details
| NPI number | 1740989615 |
|---|---|
| LBN Legal business name | Young, Mikaela Rose |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2023 |
| Last updated | Feb 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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