Provider Demographics
NPI:1558547968
Name:YOUNG, SHIRLEY Z (MD)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:Z
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:XUE
Other - Middle Name:
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3800 PLEASANT HILL RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-1428
Mailing Address - Country:US
Mailing Address - Phone:770-622-2566
Mailing Address - Fax:770-622-0828
Practice Address - Street 1:3800 PLEASANT HILL RD
Practice Address - Street 2:SUITE 5
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1428
Practice Address - Country:US
Practice Address - Phone:770-622-2566
Practice Address - Fax:770-622-0828
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060342207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine