Individual
AMY B YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 MED TECH PKWY, SUITE 1, JOHNSON CITY, TN 37604-4004
(423) 929-2111
(423) 929-0497
Mailing address
110 MED TECH PKWY, SUITE 1, JOHNSON CITY, TN 37604-4004
(423) 929-2111
(423) 929-0497
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD24809
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180016466
RAILROAD MEDICARE
TN
05
—
3078562
—
TN
Enumeration date
05/03/2006
Last updated
01/04/2019
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