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Individual

DR. THOMAS YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1150 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 712-1929
(334) 712-2799
Mailing address
1150 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 712-1929
(334) 712-2799

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
16584
AL
207RC0000X
Cardiovascular Disease Physician
Primary
209032311
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000088715
AL
05
00505689B
GA
05
009942275
AL
01
051055300
BLUE CROSS
AL
01
051088715
BLUE CROSS
AL
01
051095000
BLUE CROSS
AL
01
051540112
BLUE CROSS
AL
05
370489100
FL
05
370489101
FL
05
370489102
FL
01
61700
BLUE CROSS
FL
01
631087996
TAX ID#
Enumeration date
01/19/2006
Last updated
09/17/2025
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