Individual
MR. BRANDON MARK YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2121 E WILLIAMS ST, SUITE 108, APEX, NC 27539-7764
(919) 372-8412
(919) 267-6556
Mailing address
2121 E WILLIAMS ST, SUITE 108, APEX, NC 27539-7764
(919) 946-7011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9857
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079K8
BCBS PROVIDER NUMBER
NC
Enumeration date
07/11/2006
Last updated
04/12/2017
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