Individual
RODNEY BERT YOUNG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
(843) 797-5252
(843) 797-3683
Mailing address
2801 TRICOM ST, NORTH CHARLESTON, SC 29406-9172
(843) 797-5252
(843) 797-3683
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
11077
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110775
—
SC
Enumeration date
05/06/2006
Last updated
02/07/2008
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