Individual
DR. JOHNNY SHAN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 E 10TH ST STE 300, ANNISTON, AL 36207-4781
(256) 435-1399
(256) 435-1911
Mailing address
PO BOX 8061, ANNISTON, AL 36202-8061
(256) 435-1399
(256) 435-1911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15920
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00083944
—
AL
01
—
83944
BCBS PROVIDER
AL
Enumeration date
02/16/2006
Last updated
03/29/2018
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