Individual
DR. THOMAS EDWARD YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
(919) 350-7204
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0000-25474
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0000-25474
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346259710
—
NC
Enumeration date
08/05/2006
Last updated
12/30/2021
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