Organization
CORDELE FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY WILLIAM YOUNG MD (PHYSICIAN)
(229) 273-0841
Entity
Organization
Contact information
Practice address
501 THIRD AVENUE EAST, CORDELE, GA 31015
(229) 273-0841
(229) 273-0841
Mailing address
501 THIRD AVENUE EAST, CORDELE, GA 31015
(229) 273-0841
(229) 273-0758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22921
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00265218A
—
GA
Enumeration date
09/16/2006
Last updated
08/22/2020
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