| Young Professional Consulting Llc | |
|
3100 Five Forks Trickum Rd Sw Ste 503 Lilburn GA 30047-1888 | |
| (678) 909-9035 | |
| Not Available |
| Full Name | Young Professional Consulting Llc |
|---|---|
| Speciality | General Practice |
| Location | 3100 Five Forks Trickum Rd Sw Ste 503, Lilburn, Georgia |
| Authorized Official Name and Position | Tasha Young (CEO/OWNER) |
| Authorized Official Contact | 6789099035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Professional Consulting Llc 1450 W Peachtree St. Nw 200 Unite 25349 Atlanta GA 30309 Ph: (678) 909-9035 | Young Professional Consulting Llc 3100 Five Forks Trickum Rd Sw Ste 503 Lilburn GA 30047-1888 Ph: (678) 909-9035 |
| NPI Number | 1073221297 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 12/15/2022 |
| Medicare PECOS PAC ID | 7416328539 |
|---|---|
| Medicare Enrollment ID | O20230126002970 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073221297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Felecia W Brockington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689042988 PECOS PAC ID: 8224393087 Enrollment ID: I20180525001114 |
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