Individual
CAROLINE LESLIE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
878 BRIARCLIFF RD NE, B3, ATLANTA, GA 30306-4084
(770) 639-7725
Mailing address
878 BRIARCLIFF RD NE, B3, ATLANTA, GA 30306-4084
(770) 639-7725
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-P000196
GA
Other
Enumeration date
09/03/2016
Last updated
09/03/2016
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