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Individual

DR. BRADLEY LANE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 324-6661
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3071

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
227233
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
92346
GA

Other

Enumeration date
03/29/2017
Last updated
08/31/2023
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