Individual
GARRET PICKNEY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 633-5057
(252) 633-0084
Mailing address
PO BOX 12065, NEW BERN, NC 28561-2065
(252) 633-5057
(252) 633-0084
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
39719
NC
2085B0100X
Body Imaging Physician
39719
NC
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
39719
NC
2085N0700X
Neuroradiology Physician
39719
NC
2085N0904X
Nuclear Radiology Physician
39719
NC
2085P0229X
Pediatric Radiology Physician
39719
NC
2085R0001X
Radiation Oncology Physician
39719
NC
2085R0202X
Diagnostic Radiology Physician
Primary
39719
NC
2085R0203X
Therapeutic Radiology Physician
39719
NC
2085R0204X
Vascular & Interventional Radiology Physician
39719
NC
2085R0205X
Radiological Physics Physician
39719
NC
2085U0001X
Diagnostic Ultrasound Physician
39719
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1141C
BCBS OF NC
NC
01
—
150918
VYTRA
NC
01
—
153000500
DOL
NC
01
—
760158
MAMSI
NC
05
—
891141C
—
NC
01
—
C5188
MEDCOST
NC
Enumeration date
11/17/2005
Last updated
03/27/2024
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