Individual
DR. MOSES YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 COMMUNITY DRIVE, FAYETTE, MS 39069
(601) 786-3475
(601) 786-9980
Mailing address
106 BRANDI LN, VICKSBURG, MS 39183-7416
(601) 786-3475
(601) 786-9980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12329
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015034
—
MS
Enumeration date
12/28/2006
Last updated
04/26/2026
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