Coastal Nutrition Specialists, LLC

NPI #1548592264 in Pooler, Georgia

Provider Information

NPI Number
1548592264
Entity Type
Organization
Organization Name
Coastal Nutrition Specialists, LLC
Primary Specialty
Dietitian, Registered
Enumeration Date
Feb 5, 2010
Last Updated
Feb 5, 2010

Practice Location

Address
141 NANDINA WAY
City
Pooler
State
Georgia
ZIP Code
31322-4076
Phone
(912) 660-1215

Authorized Official

Name
MR. GARY A YOUNGBLOOD JR., R.D., L.D., C.D.E.
Title
OWNER
Phone
(912) 660-1215

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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