Individual
STEWART GREGORY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2406 DECKER BLVD, COLUMBIA, SC 29206-2362
(803) 736-2530
(803) 736-4830
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12878
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128784
—
SC
01
—
P00841371
MEDICARE RAILROAD
SC
Enumeration date
04/28/2006
Last updated
05/27/2011
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