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Individual

DR. ROBERT JACKSON YOUNG III

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
204 N MAGDALEN SQUARE, ABBEVILLE, LA 70510
(337) 893-4452
(337) 893-7870
Mailing address
204 N MAGDALEN SQUARE, ABBEVILLE, LA 70510
(337) 893-4452
(337) 893-7870

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13947
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1310697
LA
Enumeration date
01/20/2006
Last updated
07/08/2007
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