Individual
CHARLES C YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5055 SEMINARY ROAD, SUITE 109, ALEXANDRIA, VA 22311-2026
(703) 931-5635
(703) 931-6972
Mailing address
5055 SEMINARY ROAD, SUITE 109, ALEXANDRIA, VA 22311-2026
(703) 931-5635
(703) 931-6972
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101042684
VA
208100000X
Physical Medicine & Rehabilitation Physician
D0042666
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190061700
—
MD
05
—
6830315
—
VA
Enumeration date
03/28/2006
Last updated
09/19/2013
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