Individual
DAVID RUSSELL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
970 LAKELAND DR, SUITE 61, JACKSON, MS 39216-4635
(601) 982-7850
(601) 718-5145
Mailing address
970 LAKELAND DR STE 40, JACKSON, MS 39216-4640
(601) 982-7850
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
13925
MS
207RI0011X
Interventional Cardiology Physician
Primary
13925
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119854
—
MS
Enumeration date
06/17/2006
Last updated
03/11/2025
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