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Roderick Young, A.T.C L.A.T
NPI 1962881037 · on the registry since 2015 · sole proprietor
Practice
- Address
- 547 Heatherwood Dr
Jackson, MS 39212 - Phone
- (601) 502-1815
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi