Individual
CHARLES C YOUNG
Active
Individual
CHARLES C YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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