Provider Demographics
NPI:1285795476
Name:YOUNG, ERICKA S (DO)
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:S
Last Name:YOUNG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:524 SOUTHPARK BLVD
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-3609
Mailing Address - Country:US
Mailing Address - Phone:804-504-7980
Mailing Address - Fax:804-554-5387
Practice Address - Street 1:524 SOUTHPARK BLVD
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-3609
Practice Address - Country:US
Practice Address - Phone:804-504-7980
Practice Address - Fax:804-554-5387
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2024-08-06
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Provider Licenses
StateLicense IDTaxonomies
VA0102201811207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine