Individual
LADONNIA S YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 FOX HOUND CT, LEESBURG, GA 31763-3865
(229) 894-6629
Mailing address
121 FOX HOUND CT, LEESBURG, GA 31763-3865
(229) 894-6629
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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