Most Relevant Information
Provider Data
| NPI Number: | 1003509613 |
| Provider Name: | URANIUS YOUNG |
| Entity Type: | Individual |
| Taxonomy Code: | 172A00000X |
| Specialty: | Driver |
| License Number: | 054945125 |
Most Important Dates
| Enumeration Date: | 05/30/2023 |
| Last Updated: | 05/30/2023 |
Provider Practice Location
7193 DOUGLAS BLVD STE 206
DOUGLASVILLE
GA
301351540
Practice Location Phone/Fax
| Phone: | 4048394457 |
| Fax: |
Provider Mailing Location
4655 RISING FAWN DR
DOUGLASVILLE
GA
301358946
Provider Mailing Phone/Fax
| Phone: | 4048394457 |
| Fax: |