Individual
LADONNA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 420, COLUMBIA, SC 29203-6870
(803) 434-3950
(803) 443-3496
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
51343
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513439
—
SC
Enumeration date
07/07/2011
Last updated
04/05/2021
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