DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARY ALAN YOUNGBLOOD JR., RD, LD, CDE

Active Sole Proprietor

MR. GARY ALAN YOUNGBLOOD JR., RD, LD, CDE is a Registered Dietitian healthcare provider located in POOLER, Georgia. NPI 1104150192 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · POOLER, GA

Registration Details

NPI Number
1104150192
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2009 (16.930494016085 yrs)
Last Updated
Sep 24, 2009
License
LD002323 (GA)
Sole Proprietor
Yes

Practice Information

Address
141 NANDINA WAY
POOLER, GA, 313224076
Browse GA providers · Browse ZIP 31322
Phone
9126601215
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in POOLER, GA

Name Credential NPI
DEBORAH MCCORKLE CRESPO RD, LD 1760609317
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.