Individual
DR. CLINTON DRIVER YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 N ELAM AVE, GREENSBORO, NC 27403-1127
(336) 547-1801
(336) 547-1828
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
(336) 547-1828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23820
NC
207RP1001X
Pulmonary Disease Physician
Primary
23820
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182792
MEDCOST
NC
01
—
3609
PARTNERS MEDICARE
NC
01
—
4429803
AETNA
NC
01
—
89756
BCBS NC
NC
05
—
8989756
—
NC
Enumeration date
05/12/2006
Last updated
12/05/2012
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