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Contact Information

CLIFTON G YOUNGBLOOD, MD
541 HISTORIC HIGHWAY 441 NORTH
DEMOREST, GA30535
 Phone: 706-839-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CLIFTON G YOUNGBLOOD · (Male)

NPI # 1275617078
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2006
Last updated 04/08/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 036050
  • GA Medicaid 00509781D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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