Provider Demographics
NPI:1447368089
Name:YOUNG, WILLIAM HENRY III (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HENRY
Last Name:YOUNG
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 26724
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23261-6724
Mailing Address - Country:US
Mailing Address - Phone:804-355-5550
Mailing Address - Fax:804-355-2888
Practice Address - Street 1:110 N ROBINSON ST
Practice Address - Street 2:SUITE 301
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-4459
Practice Address - Country:US
Practice Address - Phone:804-355-5550
Practice Address - Fax:804-355-2888
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010 35721207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6034781Medicaid
VAB08063Medicare UPIN
VA110001941Medicare ID - Type Unspecified