Young, Clinton Driver

Young, Clinton Driver is an individual health care provider with primary practice located at 520 N Elam Ave , Greensboro NC 27403-1127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Young, Clinton Driver can be contacted via phone (336) 547-1801.

Contact Information

Primary practice address
520 N Elam Ave Greensboro NC 27403-1127
Fax: (336) 547-1828
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23820 North Carolina
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 23820 North Carolina

Profile Details

NPI number 1538119094
LBN Legal business name Young, Clinton Driver
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538119094 NPPES
North Carolina Other 4429803 AETNA
North Carolina Other 182792 AETNA
North Carolina Other 3609 AETNA
North Carolina Other 89756 AETNA
North Carolina MEDICAID 8989756 AETNA

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