Provider Demographics
NPI:1376547075
Name:YOUNG, FRANK C III (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:C
Last Name:YOUNG
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 NORMANDIE DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-2712
Mailing Address - Country:US
Mailing Address - Phone:334-286-2020
Mailing Address - Fax:334-286-2029
Practice Address - Street 1:2020 NORMANDIE DR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-2712
Practice Address - Country:US
Practice Address - Phone:334-286-2020
Practice Address - Fax:334-286-2029
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL41492207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL83749Medicaid
AL83749Medicaid
ALE82891Medicare UPIN