Individual provider · Type 1 NPI

Makeda Tiye Young, PA-C

Surgical Physician Assistant · Concord, NC

NPI number 1003631904 Active

Practice location

200 Medical Park Dr Ste 430
Concord, NC 28025-0939

Call (704) 403-7070 Map

Mailing address

7348 Oakwood Ln
Charlotte, NC 28215-3622

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X001014623 (NC)

Surgical Physician Assistant: Definition to come...

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About NPI 1003631904

Makeda Tiye Young, PA-C's National Provider Identifier is 1003631904, issued on Nov 18, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Concord, NC. The record was last updated on Nov 21, 2024.