| Doctor Name: | GUY THOMAS YOUNG |
| NPI Number: | 1124238878 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101239107 |
| Business Practice Address: | 902 N. Seventh St. Cordele, GA - 31015 |
| Business Phone Number: | 2292763100 |
| Business Fax Number: | 2292714654 |
| Mailing Address: | Po Box 5007, CORDELE |
| State: | GA |
| Postal Code: | 310105007 |
| Phone Number: | 2292763100 |
| Fax Number: | 2292714654 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 08/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 0101239107 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |