Healthcare Provider Details

I. General information

NPI: 1952975211
Provider Name (Legal Business Name): MALCOLM B YOUNG DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8928 CLAYTON BLVD STE 700
CLAYTON NC
27520-4847
US

IV. Provider business mailing address

8928 CLAYTON BLVD STE 700
CLAYTON NC
27520-4847
US

V. Phone/Fax

Practice location:
  • Phone: 919-553-5505
  • Fax: 919-553-9909
Mailing address:
  • Phone: 919-553-5505
  • Fax: 919-553-9909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number36087
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number6044
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: