Young, Stewart Gregory

Young, Stewart Gregory is an individual health care provider with primary practice located at 2406 Decker Blvd , Columbia SC 29206-2362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Young, Stewart Gregory can be contacted via phone (803) 736-2530.

Contact Information

Primary practice address
2406 Decker Blvd Columbia SC 29206-2362
Phone: (803) 736-2530
Fax: (803) 736-4830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12878 South Carolina

Profile Details

NPI number 1932166329
LBN Legal business name Young, Stewart Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated May 27th, 2011 - about 14 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 1932166329 NPPES
South Carolina MEDICAID 128784
South Carolina Other P00841371

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