| Doctor Name: | TIMOTHY YOUNG |
| NPI Number: | 1427261130 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 043152 |
| Business Practice Address: | 3001 Gordon Hwy Grovetown, GA - 308133808 |
| Business Phone Number: | 7068554700 |
| Business Fax Number: | |
| Mailing Address: | 5104 Windmill Place, EVANS |
| State: | GA |
| Postal Code: | 308096691 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 043152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |