Doctor Name: | MRS. LEIGH ANN YOUNGBLOOD - WEST |
NPI Number: | 1003092834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, NP-C |
License Number: | RN150142 |
Business Practice Address: | 2122 Manchester Expy Columbus, GA - 319046878 |
Business Phone Number: | 7065964000 |
Business Fax Number: | |
Mailing Address: | 2122 Manchester Expy, COLUMBUS |
State: | GA |
Postal Code: | 319046878 |
Phone Number: | 7065964000 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2008 |
NPI Last Update Date: | 08/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN150142 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |