Individual
TIMOTHY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 GORDON HWY, GROVETOWN, GA 30813-3808
(706) 855-4700
Mailing address
5104 WINDMILL PLACE, EVANS, GA 30809-6691
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
043152
GA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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