Individual
CHERYL L YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
106 LUKKEN INDUSTRIAL DR W, LAGRANGE, GA 30240-5912
(706) 880-7204
(706) 880-7289
Mailing address
106 LUKKEN INDUSTRIAL DR W, LAGRANGE, GA 30240-5912
(706) 880-7204
(706) 880-7289
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
051574
GA
207V00000X
Obstetrics & Gynecology Physician
27835
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000967887B
—
GA
Enumeration date
06/29/2006
Last updated
07/11/2023
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