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
Phone: (336) 547-1801
Fax: (336) 547-1828
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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