MEDICARE: LINDA S YOUNG CPT

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
1	246RP1900X	Phlebotomy Technician	N26100983	GA

General Provider Information

NPI Number	:	1811842529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA S YOUNG CPT

Provider Business Mailing Address
First Line	:	1880 W OAK PKWY STE 104
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-2274
Country	:	US
Telephone Number	:	678-783-8995
Fax Number	:	678-426-6877

Provider Business Practice Location Address
First Line	:	1880 W OAK PKWY STE 104
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-2274
Country	:	US
Telephone Number	:	678-783-8995
Fax Number	:	678-426-6877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	02/27/2026

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