Healthcare Provider Details

I. General information

NPI: 1194718155
Provider Name (Legal Business Name): CRAIG ALAN YOUNG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 02/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7938 AL HIGHWAY 69 STE 310
GUNTERSVILLE AL
35976-7135
US

IV. Provider business mailing address

7938 AL HIGHWAY 69 STE 310
GUNTERSVILLE AL
35976-7135
US

V. Phone/Fax

Practice location:
  • Phone: 256-571-8570
  • Fax: 256-571-8779
Mailing address:
  • Phone: 256-571-8570
  • Fax: 256-571-8779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number17861
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: