Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 2021-01238 | NC |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 84012 | GA |
NPI | 1144495581 |
---|---|
Provider Name | Omar Maurice Young |
First Address | Morrisville, NC 27560-5491 |
Second Address | Chapel Hill, NC 27514-4220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 27/07/2021 |