Individual
DAWN MARIE GAVAGAN SIMALA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
501 OLDE WATERFORD WAY, LELAND, NC 28451-4117
(910) 408-1130
(910) 408-1135
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02001458
IN
207Q00000X
Family Medicine Physician
Primary
2022-02976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000984586
BCBS (MIAMI)
IN
05
—
100365980
—
IN
01
—
P01609365
RR PTAN (MIAMI)
IN
Enumeration date
12/29/2005
Last updated
01/02/2026
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