Individual
BROOKE STEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
121 E 62ND ST, SAVANNAH, GA 31405-4256
(678) 646-7771
Mailing address
201 MOUNTAINSIDE PKWY, ELLIJAY, GA 30536-8319
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD007075
GA
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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