Individual
DOUGLAS BRYAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W GROVER ST, SHELBY, NC 28150-3708
(704) 487-8591
(704) 480-9726
Mailing address
200 W GROVER ST, SHELBY, NC 28150-3708
(704) 487-8591
(704) 480-9726
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24106
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5060401
AETNA NUMBER
—
01
—
8508996002
CIGNA NUMBER
—
01
—
89801
BCBS
NC
05
—
8989801
—
NC
Enumeration date
01/04/2006
Last updated
01/06/2010
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