Individual
ROBERT YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
821 N COBB ST, MILLEDGEVILLE, GA 31061-2343
(478) 633-7550
(478) 633-3235
Mailing address
777 HEMLOCK STREET MSC #104, MACON, GA 31201-2168
(478) 633-7550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN239843
GA
Other
Enumeration date
03/20/2019
Last updated
03/21/2019
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