Individual
JORDAN BRADLEY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4889 GOLDEN PKWY STE 150, BUFORD, GA 30518-6111
(770) 848-9265
Mailing address
4889 GOLDEN PKWY STE 150, BUFORD, GA 30518-6111
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT011845
GA
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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