Organization
ISLAND FOOT AND ANKLE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY Y YUNG DPM (OWNER)
(248) 212-7678
Entity
Organization
Contact information
Practice address
35 BILL FRIES DR BLDG L, HILTON HEAD, SC 29926-2797
(248) 212-7678
Mailing address
35 BILL FRIES DR BLDG L, HILTON HEAD, SC 29926-2797
(843) 895-2140
(843) 895-2141
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821037037
—
MI
Enumeration date
04/08/2021
Last updated
08/23/2021
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