Provider Demographics
NPI:1184692113
Name:CHOI, YOUNG SAMMY (MD)
Entity type:Individual
Prefix:DR
First Name:YOUNG
Middle Name:SAMMY
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:408 KINGSFORD CT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-2617
Mailing Address - Country:US
Mailing Address - Phone:910-826-0607
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF THE ARMY, WAMC STOP A
Practice Address - Street 2:2817 REILLY ROAD
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-7301
Practice Address - Country:US
Practice Address - Phone:910-907-7337
Practice Address - Fax:910-907-8788
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC38746207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCVAD000Medicare UPIN