| Jamie S. Young, Md, Phd, Pa | |
|
560 Malcolm Blvd. Suite G-2 Rutherford College NC 28671-0000 | |
| (828) 879-4567 | |
| Not Available |
| Full Name | Jamie S. Young, Md, Phd, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 560 Malcolm Blvd., Rutherford College, North Carolina |
| Authorized Official Name and Position | Jamie Young (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8288794567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie S. Young, Md, Phd, Pa P.o. Box 265 Rutherford College NC 28671-0265 Ph: () - | Jamie S. Young, Md, Phd, Pa 560 Malcolm Blvd. Suite G-2 Rutherford College NC 28671-0000 Ph: (828) 879-4567 |
| NPI Number | 1407001431 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 11/18/2008 |
| Medicare PECOS PAC ID | 5092879270 |
|---|---|
| Medicare Enrollment ID | O20090203000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407001431 | NPI | - | NPPES |
| 5906546 | Medicaid | NC | |
| 2006-00149 | Other | NC | NC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2006-00149 (North Carolina) | Primary |
| Provider Name | Jamie S Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427092659 PECOS PAC ID: 2466410774 Enrollment ID: I20060427000305 |
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