Individual
DR. GREGORY GIRARD YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1919 S 16TH ST, WILMINGTON, NC 28401-6610
(910) 763-9334
(910) 763-9339
Mailing address
1919 S 16TH ST, WILMINGTON, NC 28401-6610
(910) 763-9334
(910) 763-9339
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
262
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0817C
—
NC
05
—
890265N
—
NC
Enumeration date
08/15/2005
Last updated
05/13/2008
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