Individual
JAMES OLIN YOUNG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.,F.A.A.O.P.
Contact information
Practice address
4900 MERCER UNIVERSITY DR, MACON, GA 31210-6239
(478) 474-5678
(478) 474-5018
Mailing address
802 20TH ST E, TIFTON, GA 31794-3645
(229) 387-6600
(229) 387-7800
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CP002910
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408774069A
—
GA
01
—
610057500
WORKERS COMPENSATION
GA
Enumeration date
09/27/2005
Last updated
12/10/2012
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