Young, Eric Samuel

Young, Eric Samuel is an individual health care provider with primary practice located at 3980 Highway 9 E Suite 100-C, Little River SC 29566-8163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Young, Eric Samuel can be contacted via phone (843) 399-9774.

Contact Information

Primary practice address
3980 Highway 9 E Suite 100-C Little River SC 29566-8163
Phone: (843) 399-9774
Fax: (843) 399-8657
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 22220 South Carolina

Profile Details

NPI number 1174567077
LBN Legal business name Young, Eric Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 15th, 2016 - about 10 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 1174567077 NPPES
South Carolina MEDICAID N0042
South Carolina MEDICAID N00742
South Carolina Other GP5462

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