Individual
CLIFTON G YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
541 HISTORIC HIGHWAY 441 NORTH, DEMOREST, GA 30535
(706) 839-4000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 907-7492
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036050
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00509781D
—
GA
Enumeration date
10/25/2006
Last updated
04/08/2025
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