Individual
SCOTT W. YOUNKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR., SUPPLY, NC 28462-3350
(910) 755-1004
(910) 755-1474
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200101301
NC
207RI0200X
Infectious Disease Physician
200101301
NC
208M00000X
Hospitalist Physician
200101301
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131M5
BCBS OF NC
NC
01
—
14655
PARTNERS MEDICARE
NC
05
—
89131M5
—
NC
01
—
C9316
MEDCOST
NC
Enumeration date
10/17/2006
Last updated
12/23/2011
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