Provider Demographics
NPI:1104006709
Name:YOUNG, YORKE DOUGLAS (MD)
Entity Type:Individual
Prefix:
First Name:YORKE
Middle Name:DOUGLAS
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1924 ALCOA HWY
Mailing Address - Street 2:BOX 108, DEPARTMENT OF PATHOLOGY
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1511
Mailing Address - Country:US
Mailing Address - Phone:865-305-8994
Mailing Address - Fax:865-305-8563
Practice Address - Street 1:1924 ALCOA HWY
Practice Address - Street 2:BOX 108, DEPARTMENT OF PATHOLOGY
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-305-8994
Practice Address - Fax:865-305-8563
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC127480207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC52190BMedicare UPIN