| Coastal Nutrition Specialists, Llc | |
|
141 Nandina Way, Pooler, GA 31322-4076 | |
| (912) 660-1215 | |
| Not Available |
| Full Name | Coastal Nutrition Specialists, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 141 Nandina Way, Pooler, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548592264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD002323 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Nutrition Specialists, Llc 141 Nandina Way, Pooler, GA 31322-4076 Ph: (912) 660-1215 | Coastal Nutrition Specialists, Llc 141 Nandina Way, Pooler, GA 31322-4076 Ph: (912) 660-1215 |
Mr. Gary Alan Youngblood Jr., RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 141 Nandina Way, Pooler, GA 31322 Phone: 912-660-1215 | |
Deborah Mccorkle Crespo, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 146 Pampas Dr, Pooler, GA 31322 Phone: 912-450-2202 |