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1982604534

NPI Code Detail

MEDICARE: NOEL WILLIAM YOUNG JR. MD

MEDICARE: NOEL WILLIAM YOUNG JR. MD

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	207W00000X	Ophthalmology Physician	13955	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10462	OTHER	NC	OPTICARE
2	OPH109	OTHER	NC	PRIMAHEALTH
3	28026	OTHER	NC	COMMUNITY EYE CARE
4	89813	OTHER	NC	BCBSNC
5	A0775	OTHER	NC	MEDCOST
6	4221853	OTHER	NC	AETNA
7	0850160	OTHER	NC	UNITED HEALTHCARE
8	56128876725	OTHER	NC	CIGNA
9	430364	OTHER	NC	MAMSI
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982604534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEL WILLIAM YOUNG JR. MD

Provider Business Mailing Address
First Line	:	4102 N ROXBORO RD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704
Country	:	US
Telephone Number	:	919-595-2000
Fax Number	:	919-595-2190

Provider Business Practice Location Address
First Line	:	4102 N ROXBORO ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27704-2122
Country	:	US
Telephone Number	:	919-595-2000
Fax Number	:	919-595-2190

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	10/12/2007

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Directions to “ NOEL WILLIAM YOUNG JR. MD” Practice Location

Language	Start Address	Practice Location

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