Individual
SHERRI A. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
313 MACCORKLE AVE SW, CHARLESTON, WV 25303-1263
(304) 744-2300
(304) 744-8195
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(304) 744-2300
(304) 744-8195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2069
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001948966
MOUNTAIN STATE BCBS
—
01
—
2667074
OH MEDICAID MOLINA
OH
05
—
2667074
—
OH
05
—
3810005862
—
WV
01
—
P00767043
RR MEDICARE
—
Enumeration date
07/18/2006
Last updated
03/17/2011
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