Individual
EVERETT GLENN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1272 VIRGIL LANGFORD RD, WATKINSVILLE, GA 30677-7245
(770) 292-6500
(770) 292-6535
Mailing address
1272 VIRGIL LANGFORD RD, ATHENS, GA 30606
(770) 758-7903
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD481748
PA
207X00000X
Orthopaedic Surgery Physician
TRN27081
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
99894
GA
Other
Enumeration date
06/20/2018
Last updated
07/23/2024
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