MEDICARE: DR. CHRISTOPHER COLIN YOUNG DPM

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	213ES0131X	Foot Surgery Podiatrist	510	SC
2	213ES0131X	Foot Surgery Podiatrist	400	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639161946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER COLIN YOUNG DPM

Provider Business Mailing Address
First Line	:	1606 WELLINGTON AVE STE C
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-7704
Country	:	US
Telephone Number	:	910-763-9334
Fax Number	:	910-763-9339

Provider Business Practice Location Address
First Line	:	1606 WELLINGTON AVE STE C
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-7704
Country	:	US
Telephone Number	:	910-763-9334
Fax Number	:	910-763-9339

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	02/13/2019

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