Healthcare Provider Details

I. General information

NPI: 1811947294
Provider Name (Legal Business Name): ANDREW N. YOUNG M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 JESSE HILL JR. DR. GRADY MEMORIAL HOSPITAL
ATLANTA GA
30303
US

IV. Provider business mailing address

80 JESSE HILL JR. DR. GRADY MEMORIAL HOSPITAL
ATLANTA GA
30303
US

V. Phone/Fax

Practice location:
  • Phone: 404-616-4800
  • Fax: 404-616-9913
Mailing address:
  • Phone: 404-616-4800
  • Fax: 404-616-9913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number042149
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number042149
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: