Individual
DR. XIANGDONG YOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6025 PROFESSIONAL PKWY, SUITE 102, DOUGLASVILLE, GA 30134-5609
(770) 489-5000
(770) 489-0305
Mailing address
6025 PROFESSIONAL PKWY, SUITE 102, DOUGLASVILLE, GA 30134-5609
(770) 489-5000
(770) 489-0305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
050465
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000934007E
—
GA
01
—
04-03355
UHC
GA
01
—
201354919
PHCS
GA
01
—
2089568
FIRST HEALTHCARE
GA
01
—
21232609899
BEECH STREET
GA
01
—
320129
WELLCARE OF GEORGIA
GA
01
—
3462913
CIGNA
GA
01
—
52895315
BCBS
GA
01
—
6104
KAISER
GA
01
—
7676325
AETNA
GA
01
—
782253003
GREAT-WEST
GA
01
—
P00242355
MEDICARE RAILROAD
GA
Enumeration date
07/14/2006
Last updated
01/09/2012
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