Whalio Doctors

NPI 1043446222

Lisa Ann Young, DO

Practitioner Family Medicine Physician Moultrie, GA

Practice location

Address
1 Magnolia CT, Moultrie, GA 31768-6764
Phone
(229) 502-9769
Fax
(928) 338-5508
Mailing address
PO Box 860 Whiteriver Ihs, Whiteriver, AZ 85941

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 88683 (GA)

Registry record

NPI
1043446222
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Jun 2009
Record last updated
5 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.