Individual
EDWARD H YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6501 PEAKE RD, #700, MACON, GA 31210-8042
(478) 476-9285
Mailing address
6501 PEAKE RD, #700, MACON, GA 31210-8042
(478) 476-9285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036325
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000518207G
—
GA
01
—
52029199
BCBS OF GEORGIA
GA
Enumeration date
01/19/2007
Last updated
12/09/2009
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