MEDICARE: DR. KARL JAMES MOO YOUNG D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	103748	GA
2	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	103748	GA
3	207R00000X	Internal Medicine Physician	2008-01645	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	150YK	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346350683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARL JAMES MOO YOUNG D.O.

Provider Business Mailing Address
First Line	:	250 CHASTAIN RD NW STE 210
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-3214
Country	:	US
Telephone Number	:	770-422-0517
Fax Number	:	678-638-7015

Provider Business Practice Location Address
First Line	:	250 CHASTAIN RD NW STE 210
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-3214
Country	:	US
Telephone Number	:	770-422-0517
Fax Number	:	770-422-0517

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	03/23/2026

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