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NPI Code Detail

MEDICARE: SIMON YOUNG

MEDICARE: SIMON YOUNG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician113345GA

General Provider Information

NPI Number : 1871227900
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMON YOUNG
Provider Business Mailing Address
First Line : 743 SPRING ST NE
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3899
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 743 SPRING ST NE
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3899
Country : US
Telephone Number : 770-219-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2022
Last Update Date : 06/02/2026

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Directions to “ SIMON YOUNG ” Practice Location

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