Individual
CAROL ANNE YOUNGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4328 ARMOUR RD, COLUMBUS, GA 31904-5204
(706) 507-1213
(706) 507-1218
Mailing address
1804 48TH ST, PHENIX CITY, AL 36867-1728
(706) 566-1053
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN145165
GA
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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