Individual
GUY THOMAS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
902 N. SEVENTH ST., CORDELE, GA 31015
(229) 276-3100
(229) 271-4654
Mailing address
PO BOX 5007, CORDELE, GA 31010-5007
(229) 276-3100
(229) 271-4654
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
060900
GA
390200000X
Student in an Organized Health Care Education/Training Program
0101239107
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406134136A
—
GA
Enumeration date
05/23/2007
Last updated
01/26/2021
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